# ADVANCED MEDICAL CONCEPTS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417093493
- **Authorized official:** DR. AMAURY ARNALDO ROMAN M.D. (PRESIDENT)
- **Authorized official phone:** (787) 739-3376

## Contact information

- **Practice address:** 4 CALLE BALDORIOTY, CIDRA, PR 00739-3318
- **Practice address phone:** (787) 739-3376
- **Practice address fax:** (787) 714-1134
- **Mailing address:** PO BOX 1802, CIDRA, PR 00739-1802
- **Mailing address phone:** (787) 739-3376
- **Mailing address fax:** (787) 714-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 057659 | GA | — |
| 261Q00000X | Clinic/Center | 4301087098 | MI | — |
| 261Q00000X | Clinic/Center | 5872 | PR | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2156A | PREFFERED MEDICARE CHOICE | PR |
| 01 | — | 27251 | SSS | PR |
| 01 | — | 400271 | MMM PROVIDER | PR |
| 01 | — | 587 | AMERICAN HEALTH MEDICARE | PR |
| 01 | — | 6390017 | HUMANA | PR |
| 01 | — | 65719 | CRUZ AZUL | PR |
| 01 | — | M 00121 | MENONITA HEALTH PLAN | PR |