Promise Medical P.S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

014466 Issued in PR

Legal business name

PROMISE MEDICAL P.S.C.

Practice address

Main Ave 12-54
Bayamon, PR 00959-9998

Phone

(787) 251-7614

Fax

(787) 251-7608

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony R Rivera, MD

Title

Physician

Phone

(787) 251-7614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Anthony Raphael Rivera Linares, M.D.

  • General Practice Physician
  • Bayamon, PR
  • NPI 1306840160

  PR

  Medicare reassignment NPD
• Eileen Danisis Soto Cruz, MD

  • General Practice Physician
  • Bayamon, PR
  • NPI 1790515500
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1972931319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8929",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608929",
            "telephone_number": "787-251-7614",
            "fax_number": "787-251-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN AVE 12-54",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009599998",
            "telephone_number": "787-251-7614",
            "fax_number": "787-251-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE MEDICAL P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-251-7614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "014466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bayamon, 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 Oct 22, 2013; 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.