F.M.a. Preventive Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

F.M.A. PREVENTIVE MEDICAL SERVICES

Practice address

Urb Nuestra Senora de Lourdes B 24
Carr 848 KM 2 Saint Just
Trujillo Alto, PR 00976

Phone

(787) 377-9299

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Gladys Colon Diaz

Title

Administrator

Phone

(787) 533-7375

Specialties & licenses 1

Addresses

Other names 1

• F.M.A. Preventive Medical Services Doing business as

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.

• Jose Felipe Gonzalez, MD

  • General Practice Physician
  • Trujillo Alto, PR
  • NPI 1902429368

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1801674205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CIUDAD JARDIN 3",
            "address_2": "GUAYACAN 137",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299850",
            "telephone_number": "787-533-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB NUESTRA SENORA DE LOURDES B 24",
            "address_2": "CARR 848 KM 2 SAINT JUST",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-377-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.M.A. PREVENTIVE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "COLON DIAZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-533-7375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F.M.A. Preventive Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "F.M.A. Preventive Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 8, 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.