Active NPI
Jaime Antonio Salas Rushford, M.D.
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1013935766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16462
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080417000160 | PR | Practitioner - Internal Medicine | 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97798 | FL | MD | Internal 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.
-
dba Anti Aging Puerto Rico
- Internal Medicine Physician
- San Juan, PR
- NPI 1528299583
-
- General Practice Physician
- San Juan, PR
- NPI 1770743585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.