Grymar Primary Care Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRYMAR PRIMARY CARE SERVICES LLC

Practice address

Carr 110 KM 28.5 Bo Aguacate
Aguadilla, PR 00603

Phone

(787) 600-5054

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Grisely Moro Acevedo, MDNPI 1699383679

Title

President

Phone

(787) 223-0153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Grisely Moro Acevedo, MD

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1699383679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1780300608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 35867",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039442",
            "telephone_number": "787-223-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 28.5 BO AGUACATE",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-600-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRYMAR PRIMARY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MORO ACEVEDO",
        "authorized_official_first_name": "GRISELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-223-0153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Pharmacy Dba Meds Direct RX Inc
• Ketzia Marie Grajales Cortes, PA
• Francisco Javier Green Marcos, DC
• Grupo de Medicos Asociados, Inc.
• Grupo de Servicios Especializados En Psicologia E Intergativos Corp
• GS Medical Office LLC
• Madeline Guerrero Gonzalez, MD
• Annadysh Guerrero Pena, RPH
• Carlos E Guevara Munoz, M.D.
• Natalia Guevara Rivera, MD

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.