Outpatient Clinic Medial Group, CSP

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

OUTPATIENT CLINIC MEDIAL GROUP, CSP

Practice address

Calle Antonio R Barcelo 75
Arecibo, PR 00612

Phone

(787) 816-5041

Fax

(787) 816-5041

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dante A Rodriguez, M.D.NPI 1467465567

Title

Presidente

Phone

(787) 816-5041

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dante Amadis Rodriguez

  • Internal Medicine Physician
  • Arecibo, PR
  • NPI 1467465567
  NPD (past) Authorized official
• Segundo Gonzalez, MD

  • General Practice Physician
  • Arecibo, PR
  • NPI 1023180668
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881817799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140124",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-816-5041",
            "fax_number": "787-816-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO R BARCELO 75",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-816-5041",
            "fax_number": "787-816-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT CLINIC MEDIAL GROUP, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-816-5041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Magaly Otero Hernandez
• Liz M Otero la Luz, PHARM D.
• Sylvia Enid Otero Rodriguez, RPT
• Francisco Otero, RN
• Daoud Otoman Mustafa Sr.
• Melissa Marie Owen Jimenez, MD
• Efrain Padilla, M.D.
• Davidia Padin, PH.D.
• Hector Xavier Padro Mazzola
• Francisco J Paez, M.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.