Provider Demographics
NPI:1689550584
Name:AURUM MEDICAL GROUP LLC
Entity type:Organization
Organization Name:AURUM MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:RODRIGUEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-392-8087
Mailing Address - Street 1:URB. LLANOS DEL SUR
Mailing Address - Street 2:464 CALLE JAZMIN
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-392-8087
Mailing Address - Fax:
Practice Address - Street 1:URB. LLANOS DEL SUR
Practice Address - Street 2:464 CALLE JAZMIN
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2834
Practice Address - Country:US
Practice Address - Phone:787-392-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty