BASIC MEDICAL GROUP,INC – NPI #1508072208
Clinic/Center

BASIC MEDICAL GROUP,INC is an AHC clinic located in SAN JUAN, PR. NPPES has assigned the NPI number 1508072208 to BASIC MEDICAL GROUP,INC on May 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BASIC MEDICAL GROUP,INC below.

NPI Profile for
BASIC MEDICAL GROUP,INC

NPI Number
1508072208
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BASIC MEDICAL GROUP,INC
Former Legal Business Name: BASIC MEDICAL GROUP,INC
Primary location
AVENIDA MUNOZ RIVERA
PARADA 31
SAN JUAN, PR 00917
Phone: (787) 751-8757 Fax: (787) 751-8757
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUZ CASTELLANO
PRESIDENTE
Phone: (787) 751-8758
Updated
Identifiers

Identifiers for BASIC MEDICAL GROUP,INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAMERICAN HEALTHPR7321
OTHERCLASSICAREPR5830191251
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.