Organization Active NPI

Medicina Preventiva del Oeste

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1952956765
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICINA PREVENTIVA DEL OESTE
Practice address
60 N Post Center Office 207
Calle Ramon E Betances
Mayaguez, PR 00682-7634
Phone
(787) 455-0321
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Sacha C Gonzalez Aviles, MD
Title
Provider
Phone
(787) 455-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

60 N Post Center Office 207
Calle Ramon E Betances
Mayaguez, PR 00682-7634

Mailing address

1040 Calle B
Mayaguez, PR 00682-7634
Phone (787) 455-0321

Other names 1

  • SACHA C GONZALEZ AVILES SOLE MBR Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sachacristin@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1952956765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CALLE B",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827634",
            "telephone_number": "787-455-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N POST CENTER OFFICE 207",
            "address_2": "CALLE RAMON E BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827634",
            "telephone_number": "787-455-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA PREVENTIVA DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ AVILES",
        "authorized_official_first_name": "SACHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "787-455-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sachacristin@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "emr",
            "address_1": "60 N POST CENTER OFFICE 207",
            "address_2": "CALLE RAMON E BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006827634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SACHA C GONZALEZ AVILES SOLE MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

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