Primary Internal Care PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15719 Issued in PR

Legal business name

PRIMARY INTERNAL CARE PSC

Practice address

Plaza Isabella Local 2 Bo Machuchal
Sabana Grande, PR 00637

Phone

(939) 717-9840

NPI assigned

Jan 24, 2013

Last updated

Jan 30, 2013By 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

Edgardo Baez Ayala

Title

MD Internal Medicine

Phone

(939) 717-9840

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Edgardo Isaac Baez Ayala, M.D.

  • Internal Medicine Physician
  • Sabana Grande, PR
  • NPI 1609967140
  Medicare reassignment NPD

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1801134978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRADERAS DE RIO FLORES 113",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "939-717-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA ISABELLA LOCAL 2 BO MACHUCHAL",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "939-717-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY INTERNAL CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "BAEZ",
        "authorized_official_title_or_position": "MD INTERNAL MEDICINE",
        "authorized_official_telephone_number": "939-717-9840"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "EK244A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamilet Marie Perez Montalvo, RN
• Pharmacy One
• Pharmacy Services Inc
• Neldys Y Phi Rivera
• Keyla Deborah Pratts Rodriguez, MD
• Priscilla M Soto Justiniano LLC
• Sylvette Quinones
• Rodolfo Ramirez Carrero, M.D.
• Jose Antonio Ramirez Ramos, MD
• Keyza Ramirez Santiago, PHL

• Internal Medicine Physician in Sabana Grande, PR
• Providers in Sabana Grande, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.