Individual provider Active NPI

Jaime Antonio Salas Rushford, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1013935766
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16462 Issued in PR
Practice address
559 Calle Cabo H Alverio
Ext. Roosevelt
San Juan, PR 00918-3725
Phone
(786) 467-0606
Fax
(787) 963-1433
NPI assigned
Jul 18, 2006
Last updated
May 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME97798 FL
Internal Medicine Physician 207R00000X 16462 PR Primary
General Practice Physician 208D00000X 16462 PR
General Practice Physician 208D00000X 240913 NY

Addresses

Primary practice location

559 Calle Cabo H Alverio
Ext. Roosevelt
San Juan, PR 00918-3725

Mailing address

559 Calle Cabo H Alverio
Ext. Roosevelt
San Juan, PR 00918-3725
Phone (786) 467-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000160 PR Practitioner - Internal MedicinePractitioner - General Practice 1759386212 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME97798FLMDInternal Medicine Physician

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1013935766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CALLE CABO H ALVERIO",
            "address_2": "EXT. ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "786-467-0606",
            "fax_number": "787-963-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CALLE CABO H ALVERIO",
            "address_2": "EXT. ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "786-467-0606",
            "fax_number": "787-963-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS RUSHFORD",
        "first_name": "JAIME",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97798",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16462",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16462",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "240913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.