St. Ralphs Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4853 Issued in PR

Legal business name

ST. RALPHS MEDICAL GROUP

Practice address

J1 Calle Principal
Urb Baralt
Fajardo, PR 00738-3771

Phone

(787) 863-5050

Fax

(787) 860-5050

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Neptune, M.D.

Title

President

Phone

(787) 863-5050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1902125750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J1 CALLE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383771",
            "telephone_number": "787-863-5050",
            "fax_number": "787-860-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J1 CALLE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383771",
            "telephone_number": "787-863-5050",
            "fax_number": "787-860-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RALPHS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "NEPTUNE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-863-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlos Manuel Tejeda, M.D.

• Primary Care Clinic/Center in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.