BASIC MEDICAL GROUP,INC (NPI# 1508072208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508072208 |
| Entity Type | Organization |
| Organization Name | BASIC MEDICAL GROUP,INC |
| Other Organization Name | BASIC MEDICAL GROUP,INC |
| Practice Address |
Avenida Munoz Rivera Parada 31 San Juan PR 00917 |
| Mailing Address |
Avenida Munoz Rivera Parada 31 Hato Rey PR 00917 |
| Practice Telephone | 7877518757 |
| Practice Fax Number | 7877518757 |
| Mailing Telephone | 7877518757 |
| Mailing Fax Number | 7877518757 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LUZ C. CASTELLANO (PRESIDENTE) |
| Authorized Official Telephone | 7877518758 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | CLASSICARE | 5830191251 | 01 |
| PR | AMERICAN HEALTH | 7321 | 01 |
| Other Name | Type Code |
|---|---|
| BASIC MEDICAL GROUP,INC | Former Legal Business Name - Organization |
| Street Address |
AVENIDA MUNOZ RIVERA PARADA 31 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125344 | Chejara De Leon Alago | Health Educator | Avenida Munoz Rivera, #425- Ng, San Juan, PR 00918 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1467000869 | Zen Spa Enterprises Inc | Clinic/Center | 1054 Ave Ashford, San Juan, PR 00907-1233 | 2019-08-28 |
| 1558919282 | Zen Spa International Inc | Clinic/Center | 200 Convention Blvd, San Juan, PR 00907-4905 | 2019-08-27 |
| 1689222309 | Zen Spa Hospitality LLC | Clinic/Center | 1 Calle San Geronimo, San Juan, PR 00901 | 2019-08-27 |
| 1497217442 | Healthstat Clinics LLC | Clinic/Center | L5 Condominio Crystal House, San Juan, PR 00902 | 2019-04-01 |
| 1154805034 | Omega II LLC | Clinic/Center | 1429 Ave Fernandez Juncos Ste 3, San Juan, PR 00909-2658 | 2018-09-18 |
| 1023597358 | Abigail D Maldonado Caquias | Clinic/Center | 1503 Calle Prof. Augusto Rodriguez, Condominio Asia, Suite 600, San Juan, PR 00909 | 2018-08-08 |
| 1821588203 | Mccus Services LLC | Clinic/Center | 26 Calle Washington Apto 8a, San Juan, PR 00907 | 2018-05-11 |
| 1891294435 | Soler Health Care | Clinic/Center | 9 Ave Chardon Suite 106, San Juan, PR 00918 | 2018-02-09 |
| 1417330317 | Eighty Two Health Care Inc. | Clinic/Center | 530 Ave De La Constitucion, Atrium Office Center Suite 350, San Juan, PR 00901-2304 | 2015-07-09 |
| Find all providers in SAN JUAN | ||||
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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.