Organization Active NPI

PCR Internal Medicine P.S.C.

  • Specialist
  • Bayamon, PR
National Provider Identifier
1912172602
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11842 Issued in PR
Legal business name
PCR INTERNAL MEDICINE P.S.C.
Practice address
Extencion Forest Hills
E 55 Calle Marginal
Bayamon, PR 00959
Phone
(787) 779-8311
Fax
(787) 779-8311
NPI assigned
Apr 24, 2008
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Pilar Cabrera, MD
Title
President
Phone
(787) 779-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11842 PR Primary

Addresses

Primary practice location

Extencion Forest Hills
E 55 Calle Marginal
Bayamon, PR 00959

Mailing address

Urbanizacion Santa Juanita PMB 206
Uu 1 Calle 39
Bayamon, PR 00956
Phone (787) 779-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000469 PR Part B Supplier - Clinic/Group Practice 4688855364 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

E55 Calle Marginal
Bayamon, PR 00959
Phone (787) 779-8311

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1912172602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION SANTA JUANITA PMB 206",
            "address_2": "UU 1 CALLE 39",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-779-8311",
            "fax_number": "787-779-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXTENCION FOREST HILLS",
            "address_2": "E 55 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-779-8311",
            "fax_number": "787-779-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCR INTERNAL MEDICINE P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-779-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11842",
            "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 Feb 22, 2011; 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.