Four Grains Group

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FOUR GRAINS GROUP

Practice address

Carr. 723 KM 0.8
Bo. Asomante
Aibonito, PR 00705

Phone

(939) 425-0052

NPI assigned

Feb 20, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Rodriguez

Title

President

Phone

(787) 516-1045

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1649076787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AVE JOSE ZAYAS GRN APT D3",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007942031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 723 KM 0.8",
            "address_2": "BO. ASOMANTE",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "939-425-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR GRAINS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-516-1045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Centro Servicio Ambulatorio Aibonito
• Farmacia Hospital General Menonita Aibonito
• Farmacia Hospital Menonita
• Farmacia Unity, Inc.
• Candido Fernandez, BS.PH.
• Carlos R. Fuentes-Borrero, M.D.
• Maria A Garcia-Echevarria, PHD
• Guillermo Juan Garcia, PSYD
• Jose Orlando Garcia, MD
• Leslie M Garcia, OD

• Non-emergency Medical Transport (VAN) in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Non-emergency Medical Transport (VAN) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.