NPIMap

Organization Active NPI

Asociacion de Medicos de Puerto Rico Ms Inc

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1659009298
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ASOCIACION DE MEDICOS DE PUERTO RICO MS INC
Practice address
536 Ave Victoria
Aguadilla, PR 00603-4623
Phone
(787) 658-6218
Fax
(787) 658-7116
NPI assigned
Aug 11, 2022
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mr. Mervin Sanchez MaldonadoNPI 1396310439
Title
President
Phone
(787) 658-6218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

536 Ave Victoria
Aguadilla, PR 00603-4623

Mailing address

Urb Monte Claro Ma-36
Plaza 7
Bayamon, PR 00960
Phone (787) 658-6218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SYNC.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240222003104 PR Part B Supplier - Clinic/Group Practice 9739523242 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamoon, PR

National Provider Directory

National Provider Directory
Tax ID family
Asociacion de Medicos de Puerto Rico Ms Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

536 Ave Victoria
Aguadilla, PR 00603
Phone (787) 509-7401

B11 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 658-6218

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1659009298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MONTE CLARO MA-36",
            "address_2": "PLAZA 7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-658-6218",
            "fax_number": "787-658-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 AVE VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034623",
            "telephone_number": "787-658-6218",
            "fax_number": "787-658-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCIACION DE MEDICOS DE PUERTO RICO MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ MALDONADO",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-658-6218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SYNC.COM",
            "affiliation": "N",
            "address_1": "536 Ave Victoria",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006034623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.