Western Medical Group P.S.C.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WESTERN MEDICAL GROUP P.S.C.

Practice address

Plaza Anidem Suite 3
Carr 447 KM 3.9 Barrio Aibonito
San Sebastian, PR 00685-9770

Phone

(787) 896-5738

Fax

(787) 896-5738

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cristobal I Mendez Ruiz, MDNPI 1326244674

Title

Director Medico / Presidente

Phone

(787) 896-5738

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristobal Ivan Mendez Ruiz

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1326244674
  NPD Authorized official

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1881254498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 11465",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859770",
            "telephone_number": "787-896-5738",
            "fax_number": "787-896-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA ANIDEM SUITE 3",
            "address_2": "CARR 447 KM 3.9 BARRIO AIBONITO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859770",
            "telephone_number": "787-896-5738",
            "fax_number": "787-896-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL GROUP P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MENDEZ  RUIZ",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR MEDICO / PRESIDENTE",
        "authorized_official_telephone_number": "787-896-5738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO DEPARTAMENTO DE ESTADO",
            "identifier": "421056",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.