BASIC MEDICAL GROUPINC NPI 1508072208

NPI Information

  • NPI: 1508072208
  • Provider Name: BASIC MEDICAL GROUP,INC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Former Legal Business Name: BASIC MEDICAL GROUP,INC
  • Address: AVENIDA MUNOZ RIVERA
    PARADA 31
    SAN JUAN, PR
    ZIP 00917
  • Phone: (787) 751-8757

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NPI Details

BASIC MEDICAL GROUP,INC is a health service clinic center in San Juan, PR. BASIC MEDICAL GROUP,INC NPI is 1508072208. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Basic Medical Group,inc.

The provider's business location address is:

AVENIDA MUNOZ RIVERA
PARADA 31
SAN JUAN, PR
ZIP 00917
Phone: (787) 751-8757
Fax: (787) 751-8757

The provider's authorized official is Luz C. Castellano .
The authorized official title is Presidente and has the following contact phone number (787) 751-8758.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15830191251OTHERPUERTO RICOCLASSICARE
27321OTHERPUERTO RICOAMERICAN HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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