CV Med LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CV MED LLC

Practice address

41 Calle Munoz Rivera
Aguas Buenas, PR 00703-3233

Phone

(787) 732-0753

Fax

(787) 712-3027

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Camilo, MDNPI 1356327274

Title

Owner

Phone

(787) 732-0566

Specialties & licenses 1

Addresses

Other names 1

• EDWIN CAMILO MD. Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Edwin Camilo, M.D.

  • General Practice Physician
  • Aguas Buenas, PR
  • NPI 1356327274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1992340038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031149",
            "telephone_number": "787-732-0753",
            "fax_number": "787-712-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033233",
            "telephone_number": "787-732-0753",
            "fax_number": "787-712-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CV MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "CAMILO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-732-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDWIN CAMILO MD.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDWIN CAMILO MD.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.