Active NPI
Eastern Primary Medical Services, P.S.C.
- General Practice Physician
- Gurabo, PR
National Provider Identifier
1841200870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- EASTERN PRIMARY MEDICAL SERVICES, P.S.C.
- Practice address
- D12 Calle 1
Urb. El Vivero
Gurabo, PR 00778-2301 - Phone
- (787) 737-6082
- Fax
- (787) 737-6082
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 17, 2011
- 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. Pedro Sanabria, M.D.
- Title
- President
- Phone
- (787) 737-6082
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
D12 Calle 1
Urb. El Vivero
Gurabo, PR 00778-2301
Mailing address
PO Box 1323
Gurabo, PR 00778-1323
Phone (787) 737-6082
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304 | Other | PR | INTER MED CARD - PROV # |
| 2011627 | Other | PR | PREFERRED HEALTH - # PROV |
| 584266586 | Other | PR | COSVI - PROVIDER # |
| 065428 | Other | PR | LA CRUZ AZUL - PROVIDER # |
| MEDICARE Y MUCHO MAS | Other | PR | 500117SE - PROVIDER # |
| 3511A | Other | PR | PREFERR MED CHOI - PROV# |
| 0085450A | Other | PR | MEDICARE |
| 6580008 | Other | PR | HUMANA PR -ROVIDER # |
| 775171 | Other | PR | HUMANA GOLD PLUS - PROV# |
| 0085450 | Other | PR | MEDICARE |
| 04351 | Other | PR | AMERICAN HEALTH - PROV # |
National Provider Directory
National Provider DirectoryLocations
D12 Calle 1
Gurabo, PR 00778
Phone (787) 737-6082
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Physician
- Gurabo, PR
- NPI 1013914258
-
- General Practice Physician
- Gurabo, PR
- NPI 1578035945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1841200870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1323",
"city": "GURABO",
"state": "PR",
"postal_code": "007781323",
"telephone_number": "787-737-6082",
"fax_number": "787-737-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D12 CALLE 1",
"address_2": "URB. EL VIVERO",
"city": "GURABO",
"state": "PR",
"postal_code": "007782301",
"telephone_number": "787-737-6082",
"fax_number": "787-737-6082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN PRIMARY MEDICAL SERVICES, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "SANABRIA",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-737-6082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTER MED CARD - PROV #",
"identifier": "1304",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH - # PROV",
"identifier": "2011627",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVI - PROVIDER #",
"identifier": "584266586",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL - PROVIDER #",
"identifier": "065428",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "500117SE - PROVIDER #",
"identifier": "MEDICARE Y MUCHO MAS",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERR MED CHOI - PROV#",
"identifier": "3511A",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0085450A",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PR -ROVIDER #",
"identifier": "6580008",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLUS - PROV#",
"identifier": "775171",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0085450",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH - PROV #",
"identifier": "04351",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.