Active NPI
Physicians at Home
- General Practice Physician
- San Juan, PR
National Provider Identifier
1013309442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PHYSICIANS AT HOME
- Practice address
- 300 Blvd de la Montana
Apt 655
San Juan, PR 00926-7027 - Phone
- (787) 479-6620
- NPI assigned
- Feb 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William De Gracia
- Title
- President
- Phone
- (787) 479-6620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
300 Blvd de la Montana
Apt 655
San Juan, PR 00926-7027
Mailing address
16034 Bolt Dr
Canovanas, PR 00729-3801
Phone (787) 479-6620
Other names 1
- MD AT HOME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1013309442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16034 BOLT DR",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007293801",
"telephone_number": "787-479-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BLVD DE LA MONTANA",
"address_2": "APT 655",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267027",
"telephone_number": "787-479-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "DE GRACIA",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-479-6620"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MD AT HOME",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.