HYDE PARK MEDICAL GROUP PSC


Address: 212 Calle Las Marias, Hyde Park, San Juan, PR 00927-4213
Phone: 7872506425

HYDE PARK MEDICAL GROUP PSC (NPI# 1841432143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841432143
Entity Type Organization
Organization Name HYDE PARK MEDICAL GROUP PSC
Practice Address 212 Calle Las Marias
Hyde Park
San Juan
PR 00927-4213
Mailing Address 370 Andreas Court
10 Th St, Box 90
Trujillo Alto
PR 00976-7804
Practice Telephone 7872506425
Mailing Telephone 7872506425
Enumeration Date 2009-04-01
Last Update Date 2009-04-01
Authorized Official Name DR. EDGARDO GONZALEZ (PRESIDENT)
Authorized Official Telephone 7872506425
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
15965 PR Ambulatory Health Care Facilities

Office Location

Street Address 212 CALLE LAS MARIAS
HYDE PARK
City SAN JUAN
State PR
Zip Code 00927-4213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033668876 Elite Network Physicians Home Services Psc General Practice 212 Calle Las Marias, Hyde Park, San Juan, PR 00927 2016-09-21

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SAN JUAN
Zip Code 00927

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Dataset Information

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.

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