Organization Active NPI

Physician Independent Practice Organization, LLC.

  • Preferred Provider Organization
  • San German, PR
National Provider Identifier
1639442379
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PHYSICIAN INDEPENDENT PRACTICE ORGANIZATION, LLC.
Practice address
102 Calle Dr Veve
San German, PR 00683-4132
Phone
(787) 892-8092
Fax
(888) 777-9122
NPI assigned
Feb 10, 2012
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. Guido Lugo
Title
President
Phone
(787) 892-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

102 Calle Dr Veve
San German, PR 00683-4132

Mailing address

PO Box 80
San German, PR 00683-0080
Phone (787) 892-8092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1639442379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830080",
            "telephone_number": "787-892-8092",
            "fax_number": "888-777-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE DR VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834132",
            "telephone_number": "787-892-8092",
            "fax_number": "888-777-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN INDEPENDENT PRACTICE ORGANIZATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "GUIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-8092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.