Pedmed LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDMED LLC

Practice address

Metro Plaza Caguas
Ave Jose Garrido Villa Blanca
Caguas, PR 00725

Phone

(787) 624-4474

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Mario Ramon Diaz Gallego

Title

Manager

Phone

(787) 624-4474

Specialties & licenses 1

Addresses

Other names 1

• PEDMED LLC Former legal business name

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1891363057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 JUAN B RODRIGUEZ APT 7042",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO PLAZA CAGUAS",
            "address_2": "AVE JOSE GARRIDO VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-624-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "MARIO RAMON",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-624-4474"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDMED LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Caguas, PR
• Providers in Caguas, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.