Organization Active NPI

Fed Medical Care Inc

  • Primary Care Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1790178465
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
015496 Issued in PR
Legal business name
FED MEDICAL CARE INC
Practice address
100 Carr 165
Suite C 106
Guaynabo, PR 00968-8047
Phone
(787) 708-6997
Fax
(787) 708-6998
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Mr. Angel M Rivera
Title
Ceo
Phone
(787) 708-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 015496 PR Primary

Addresses

Primary practice location

100 Carr 165
Suite C 106
Guaynabo, PR 00968-8047

Mailing address

100 Carr 165
Suite C 106
Guaynabo, PR 00968-8047
Phone (787) 708-6997

National Provider Directory

National Provider Directory

Locations

100 Carr 165
Ste 106
Guaynabo, PR 00968
Phone (787) 708-6997

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1790178465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARR 165",
            "address_2": "SUITE C 106",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-708-6997",
            "fax_number": "787-708-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165",
            "address_2": "SUITE C 106",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-708-6997",
            "fax_number": "787-708-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FED MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-708-6997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "015496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.