Organization Active NPI

Advanced Endocrinology Center, P.S.C.

  • Medical Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1841632718
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
17069 Issued in PR
Legal business name
ADVANCED ENDOCRINOLOGY CENTER, P.S.C.
Practice address
St. # 2 KM 12.3 Hnas. Davila
Metro Medical Center Off. a-610
Bayamon, PR 00959
Phone
(787) 527-9896
Fax
(787) 765-9183
NPI assigned
Jul 22, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Rafael A Gonzalez-Rosario, M.D.NPI 1144427758
Title
President
Phone
(787) 506-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 17069 PR Primary

Addresses

Primary practice location

St. # 2 KM 12.3 Hnas. Davila
Metro Medical Center Off. a-610
Bayamon, PR 00959

Mailing address

1995 St. # 2 Suite. 1610
Metro Medical Center
Bayamon, PR 00959-1610
Phone (787) 527-9896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131203000313 PR Part B Supplier - Clinic/Group Practice 3971739657 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR; Hato Rey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1841632718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ST. # 2 SUITE. 1610",
            "address_2": "METRO MEDICAL CENTER",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009591610",
            "telephone_number": "787-527-9896",
            "fax_number": "787-765-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. # 2 KM 12.3 HNAS. DAVILA",
            "address_2": "METRO MEDICAL CENTER OFF. A-610",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-527-9896",
            "fax_number": "787-765-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOCRINOLOGY CENTER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-ROSARIO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-506-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "17069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

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