Cohesively Medical Group LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COHESIVELY MEDICAL GROUP LLC

Practice address

36 Corporate Office Park, PR-20, Suite 301
San Juan, PR 00966

Phone

(787) 523-5767

Fax

(800) 972-7754

NPI assigned

May 21, 2021

Last updated

May 21, 2021By 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

Mr. Josue Torres, ESQ

Title

Director

Phone

(787) 674-0183

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1750956801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195615",
            "telephone_number": "787-523-5767",
            "fax_number": "800-920-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CORPORATE OFFICE PARK, PR-20, SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-523-5767",
            "fax_number": "800-972-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHESIVELY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-674-0183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.