Dr Radames Antonio Marin-Medicina de Familia CSP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10758 Issued in PR

Legal business name

DR RADAMES ANTONIO MARIN-MEDICINA DE FAMILIA CSP

Practice address

Hosp Dr. Tito Mattei Ofic.119a
Yauco, PR 00698-0000

Phone

(787) 364-0514

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By 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

Dr. Radame A Marin Vieira, M.D.

Title

Owner

Phone

(787) 364-0514

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Radames A. Marin Vieira, MD

  • Family Medicine Physician
  • Sabana Grande, PR
  • NPI 1285619619
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1780985937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980807",
            "telephone_number": "787-364-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP DR. TITO MATTEI OFIC.119A",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980000",
            "telephone_number": "787-364-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RADAMES ANTONIO MARIN-MEDICINA DE FAMILIA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "MARIN VIEIRA",
        "authorized_official_first_name": "RADAME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-364-0514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "0088624",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Yauco, PR
• Providers in Yauco, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.