Active NPI
Caribbean Professional Health Group, LLC
- Family Medicine Physician
- Ponce, PR
National Provider Identifier
1669083978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CARIBBEAN PROFESSIONAL HEALTH GROUP, LLC
- Practice address
- 909 Ave Tito Castro
Torre San Lucas Suite 513
Ponce, PR 00716 - Phone
- (787) 259-0900
- NPI assigned
- Aug 11, 2020
- Last updated
- Aug 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor Rodriguez, MD
- Title
- Director
- Phone
- (787) 259-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
909 Ave Tito Castro
Torre San Lucas Suite 513
Ponce, PR 00716
Mailing address
909 Ave Tito Castro
Torre San Lucas Suite 513
Ponce, PR 00716
Phone (787) 259-0900
National Provider Directory
National Provider DirectoryLocations
909 Ave Tito Castro
Ste 513
Ponce, PR 00716
Phone (787) 259-0900
Practitioners & affiliated clinicians
Practitioners 1
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": "1597104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597881600000",
"number": "1669083978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "TORRE SAN LUCAS SUITE 513",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-259-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "TORRE SAN LUCAS SUITE 513",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-259-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARIBBEAN PROFESSIONAL HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-259-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Caribbean Medical and Rehab Corp
- Caribbean Medical Services LLC
- Caribbean Neuroradiology Services, Inc. (Ponce MRI)
- Caribbean Neuroradiology Services, Inc.
- Caribbean Ophthalmology Specialists & Co PSC
- Caribbean Pulmonary Medical Society, C.S.P.
- Caribbean Stewardship & Infusion Services
- Caribbean Surgy Center, Inc
- Caribbean Vascular Services PC
- Caribbean Wellness Oncology, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.