PR PROFESSIONAL MEDICAL GROUP, PSC (NPI# 1427359025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427359025 |
| Entity Type | Organization |
| Organization Name | PR PROFESSIONAL MEDICAL GROUP, PSC |
| Practice Address |
Ave. Degetau Segunda Extension Esquina El Verde Calle I #2a Caguas PR 00725-0000 |
| Mailing Address |
Pmb 071 Po Box 4952 Caguas PR 00726-0000 |
| Practice Telephone | 7872052114 |
| Mailing Telephone | 7872052114 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | JUITXA BAEZ (TESORERA) |
| Authorized Official Telephone | 7872052114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | REGISTER NUMBER | 6227 | 01 |
| Street Address |
AVE. DEGETAU SEGUNDA EXTENSION ESQUINA EL VERDE CALLE I #2A |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607100 | Carlos Rivera Santos | General Practice | Bb3 Calle Agueybana, Caguas, PR 00727-7713 | 2020-10-20 |
| 1861090177 | Clinica Medicina Primaria Y Preventiva - Dr Angel M Ortiz Ortega LLC | General Practice | Carr 183 Km 4.8, Bo Tomas De Castro 2, Caguas, PR 00726 | 2020-10-09 |
| 1053918656 | Keileen E Toro Vega | General Practice | Del Rio Shopping Local A2-1 Urb. Valle Tolima, Caguas, PR 00727 | 2020-10-06 |
| 1306453188 | Barbara Adangie Marrero | General Practice | San Bartolome D10, Notre Dame, Caguas, PR 00725-3922 | 2020-09-25 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1447886650 | Kiara Griselle Rivera-guevara | General Practice | Salida 21 Carr. 172 Urb. Turabo Gardens, Caguas, PR 00726 | 2020-03-19 |
| 1669004677 | Manuel Jose Ortiz Bustillo | General Practice | Urb Mansines De Ciudad Jardin, 432 Calle Tarragona, Caguas, PR 00727 | 2020-02-07 |
| 1508406877 | Monica S Santos | General Practice | Urb. Los Angeles, Sector La Changa D-16, Caguas, PR 00726 | 2020-01-14 |
| 1003378977 | Oscar Andres Guillama | General Practice | Autopista Luis A Ferre Salida 21 Carr 12, Urb Turabo Gardens, Caguas, PR 00726 | 2019-04-01 |
| 1700364478 | Juan Jose Lopez Fontanet | General Practice | 100 Ave Luis Munoz Marin # 00725, Caguas, PR 00725-6184 | 2018-08-03 |
| Find all providers in CAGUAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.