EASTERN ADVANCED MEDICAL GROUP NPI 1437192051

NPI Information

  • NPI: 1437192051
  • Provider Name: EASTERN ADVANCED MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: CALLE DUFRESNE NO. 59 W
    HUMACAO, PR
    ZIP 00791
  • Phone: (787) 285-0655

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NPI Details

EASTERN ADVANCED MEDICAL GROUP is a specialist in Humacao, PR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTERN ADVANCED MEDICAL GROUP NPI is 1437192051. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

CALLE DUFRESNE NO. 59 W
HUMACAO, PR
ZIP 00791-609
Phone: (787) 285-0655

The provider's authorized official is Melvin Rodriguez .
The authorized official title is Adminsitrator and has the following contact phone number (787) 285-0655.

The enumeration date for this NPI number is 6/13/2006 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
1174400000XSpecialistPUERTO RICOYes

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: 3/30/2025

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