GLG Preventive Medicine Center,PSC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

16660 Issued in PR

Legal business name

GLG PREVENTIVE MEDICINE CENTER,PSC

Practice address

San German Medical Plaza Suite 202
Rd #2 KM 176
San German, PR 00683

Phone

(787) 264-2124

NPI assigned

Jun 29, 2007

Last updated

Apr 3, 2024By 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

German Luis Gonzalez GonzalezNPI 1679666739

Title

President

Phone

(787) 264-2124

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• German Luis Gonzalez Gonzalez, M.D.

  • Public Health & General Preventive Medicine Physician
  • San German, PR
  • NPI 1679666739
  NPD Authorized official
• Maitessu Adilen Rivera Nin, MD

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1124749510
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1649477928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600923",
            "telephone_number": "787-264-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA SUITE 202",
            "address_2": "RD #2 KM 176",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLG PREVENTIVE MEDICINE CENTER,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GONZALEZ",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-264-2124"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PR",
            "license": "16660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra Garcia Alvarez, LCDA
• Yussel C Garcia-Amador, M.D.
• Libet Yanira Garcia
• Victoria M Gill, MD
• GLG Preventive Medicine Center PSC
• Albaixa Gonzalez Batiz, MD
• Javier Gonzalez Buonomo, MD
• German Luis Gonzalez Gonzalez, M.D.
• Maria E. Gonzalez Marques
• Paloma Gonzalez Marques, PSY. D.

• Rural Health Clinic/Center in San German, PR
• Providers in San German, PR by specialty
• Rural Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.