Individual provider Active NPI

Jose Nin-Torregrosa, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1043294309
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3760 Issued in PR
Practice address
2 Ave Ponce de Leon
Suite 618
San Juan, PR 00918-1621
Phone
(787) 550-0791
Fax
(888) 454-6294
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3760 PR Primary
Nephrology Physician 207RN0300X 3760 PR

Addresses

Primary practice location

2 Ave Ponce de Leon
Suite 618
San Juan, PR 00918-1621

Mailing address

PO Box 1679
Canovanas, PR 00729-1679
Phone (787) 550-0790

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
I20050505000090 PR Practitioner - Internal MedicinePractitioner - Nephrology 6507806908 Practice locations: Canovanas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Puerto Rico School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Corchado Final
CDT Canovanas
Canovanas, PR 00729-3257
Phone (787) 876-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3760PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Cardiovascular No Invasivo Internal Medicine Past Accepting new patients
Centro Diangostico Integral PR Inc Past Accepting new patients
Instituto de Dolor de Pecho Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1043294309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1679",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291679",
            "telephone_number": "787-550-0790",
            "fax_number": "888-454-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE PONCE DE LEON",
            "address_2": "SUITE 618",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181621",
            "telephone_number": "787-550-0791",
            "fax_number": "888-454-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIN-TORREGROSA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "3760",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "3760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.