Active NPI
Internal Medicine and Preventive Care Service CSP
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1801879135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE AND PREVENTIVE CARE SERVICE CSP
- Practice address
- Bayamon Medical PLZ
Suite 505
Bayamon, PR 00959-7200 - Phone
- (787) 269-3015
- Fax
- (787) 740-4720
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arizmendi Angel, MD
- Title
- President
- Phone
- (787) 269-3015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
Bayamon Medical PLZ
Suite 505
Bayamon, PR 00959-7200
Mailing address
Bayamon Medical PLZ
Suite 505
Bayamon, PR 00959-7200
Phone (787) 269-3015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84901 | Other | T-S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1845 Carr 2
Ste 505
Bayamon, PR 00959
Phone (787) 269-3015
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bayamon, PR
- NPI 1427431881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1801879135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLZ",
"address_2": "SUITE 505",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597200",
"telephone_number": "787-269-3015",
"fax_number": "787-740-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLZ",
"address_2": "SUITE 505",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597200",
"telephone_number": "787-269-3015",
"fax_number": "787-740-4720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE AND PREVENTIVE CARE SERVICE CSP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "ANGEL",
"authorized_official_first_name": "ARIZMENDI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-269-3015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "T-S",
"identifier": "84901",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Integrated Health Providers Services, PSC
- Integrity Solution of Latinamerica
- Inter American University of PR Bayamon Campus (INTER Bayamon)
- Inter American University of Puerto Rico
- Inter American University of Puerto Rico
- International Medical Center Corp
- International Medical Equipment Corporation
- Interventional Associates
- Jose F Irizarry Rodriguez, MD
- Gabriel Irizarry Villafane, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.