NPIMap

Organization Active NPI

Jeo LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1023575768
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
JEO LLC
Practice address
735 Ave Ponce de Leon Ste 201
San Juan, PR 00917-5023
Phone
(787) 771-1000
Fax
(787) 771-1001
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. Jose J Echenique Arana, MDNPI 1083855696
Title
Sole MBR
Phone
(787) 708-6456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 201
San Juan, PR 00917-5023

Mailing address

26 Calle Belen
Guaynabo, PR 00968-3123
Phone (787) 708-6456

Other practice location 1

Auxilio Mutuo 735 Ponce D Leon 404
San Juan, PR 00917
Phone (787) 771-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191017001105 PR Part B Supplier - Clinic/Group Practice 8325379670 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 201
San Juan, PR 00917
Phone (787) 771-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1023575768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CALLE BELEN",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683123",
            "telephone_number": "787-708-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175023",
            "telephone_number": "787-771-1000",
            "fax_number": "787-771-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AUXILIO MUTUO 735 PONCE D LEON 404",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-771-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "ECHENIQUE ARANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "787-708-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.