NPIMap

Organization Active NPI

Mediprev

  • Public Health & General Preventive Medicine Physician
  • Bayamon, PR
National Provider Identifier
1699491050
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
MEDIPREV
Practice address
Centro Comercial Ciudad Jardin
Local 1
Bayamon, PR 00956
Phone
(787) 412-3346
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Marilliam JorgeNPI 1699947457
Title
President
Phone
(787) 412-3346

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Mammography Clinic/Center 261QR0206X
Clinical Medical Laboratory 291U00000X
Public Health & General Preventive Medicine Physician 2083P0901X Primary

Addresses

Primary practice location

Centro Comercial Ciudad Jardin
Local 1
Bayamon, PR 00956

Mailing address

DG15 Calle Babilonia
Bayamon, PR 00956-5342
Phone (787) 797-9999

Other identifiers 1

IdentifierTypeStateIssuer
431130OtherPRBUSINESS REGISTER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Inmediata Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1699491050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DG15 CALLE BABILONIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009565342",
            "telephone_number": "787-797-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL CIUDAD JARDIN",
            "address_2": "LOCAL 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-412-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPREV",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "MARILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-412-3346"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS REGISTER",
            "identifier": "431130",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Inmediata",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Centro Comercial Ciudad Jardin",
            "address_2": "Local 1",
            "city": "Bayamon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "00956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.