NPIMap

Organization Active NPI

Primary Medical Center Ipa

  • Specialist
  • Ponce, PR
National Provider Identifier
1992100440
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRIMARY MEDICAL CENTER IPA
Practice address
Calle Ferrocarril # 607
Ponce, PR 00717-1195
Phone
(787) 844-0331
Fax
(787) 840-8874
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mr. Sergio Chevere, M.D.
Title
President
Phone
(787) 844-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

Calle Ferrocarril # 607
Ponce, PR 00717-1195

Mailing address

Calle Ferrocarril # 607
Ponce, PR 00717-1195
Phone (787) 844-0331

Other identifiers 1

IdentifierTypeStateIssuer
0428OtherPRAMERICAN HEALTH MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Primary Medical Center Ipa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1992100440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE FERROCARRIL # 607",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171195",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FERROCARRIL # 607",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171195",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CENTER IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "CHEVERE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-844-0331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "0428",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.