NPIMap

Organization Active NPI

Bayamon Internal Medicine Group

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1720186836
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAYAMON INTERNAL MEDICINE GROUP
Practice address
B1 Calle Santa Cruz
Carimed Plaza Suite 506
Bayamon, PR 00961-6933
Phone
(787) 785-3687
Fax
(787) 995-0201
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Dr. Manuel Miguel Gonzalez Garcia, M.D.NPI 1588604839
Title
President
Phone
(787) 785-3687

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

B1 Calle Santa Cruz
Carimed Plaza Suite 506
Bayamon, PR 00961-6933

Mailing address

B1 Calle Santa Cruz
Carimed Plaza Suite 506
Bayamon, PR 00961-6933
Phone (787) 785-3687

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000073 PR Part B Supplier - Clinic/Group Practice 0143275917 Receives reassigned benefits from 2 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

B1 Calle Santa Cruz
Ste 506
Bayamon, PR 00961
Phone (787) 785-3687

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1720186836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B1 CALLE SANTA CRUZ",
            "address_2": "CARIMED PLAZA SUITE 506",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-785-3687",
            "fax_number": "787-995-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CALLE SANTA CRUZ",
            "address_2": "CARIMED PLAZA SUITE 506",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-785-3687",
            "fax_number": "787-995-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMON INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GARCIA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-785-3687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 1, 2010; 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.