Individual provider Active NPI

Samuel Alvarez Falcon

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
National Provider Identifier
1043774797
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
6246000 Issued in PR
Practice address
1728 Calle Adams
Summit Hills
San Juan, PR 00920-4367
Phone
(787) 552-0655
NPI assigned
Jan 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6246000 PR Primary

Addresses

Primary practice location

1728 Calle Adams
Summit Hills
San Juan, PR 00920-4367

Mailing address

1728 Calle Adams
Summit Hills
San Juan, PR 00920-4367
Phone (787) 552-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6246000PRMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: samuel.alvarezfalcon.d1.p1@direct.mmc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1043774797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 CALLE ADAMS",
            "address_2": "SUMMIT HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204367",
            "telephone_number": "787-552-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 CALLE ADAMS",
            "address_2": "SUMMIT HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204367",
            "telephone_number": "787-552-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ FALCON",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "6246000",
            "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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.