Grupo Medico del Noreste

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRUPO MEDICO DEL NORESTE

Practice address

41A Calle Orquidea
Loiza Valley
Canovanas, PR 00729-3540

Phone

(787) 256-5659

Fax

(787) 256-5659

NPI assigned

Sep 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fernando Bordet, M.D

Title

President

Phone

(787) 256-5659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Bordet Villa, M.D

  • Family Medicine Physician
  • Canovanas, PR
  • NPI 1134114705
  Medicare reassignment NPD
• Jose A. Gaudier Diaz, M.D.

  • General Practice Physician
  • Canovanas, PR
  • NPI 1730537689
  NPD
• Rafael A Ruiz Gonzalez, M.D

  • Internal Medicine Physician
  • Canovanas, PR
  • NPI 1902892458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1639164262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A CALLE ORQUIDEA",
            "address_2": "LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293540",
            "telephone_number": "787-256-5659",
            "fax_number": "787-256-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41A CALLE ORQUIDEA",
            "address_2": "LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293540",
            "telephone_number": "787-256-5659",
            "fax_number": "787-256-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO DEL NORESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "BORDET",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-256-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan a Gonzalez Skerrett, MD
• Elia M. Gonzalez, RPT
• Josue D Gonzalez, RN
• Desiree Gordils Galarza
• Grupo Medico Crespo Orozco PSC
• Grupo Terapeutico del Pilar, GTP, LLC
• Myriam Guadalupe, M.D.
• Sheila M Guadalupe
• Karla I Haddock Legares
• Health Chiropractic and More LLC

• Family Medicine Physician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.