Individual provider Active NPI

Ismael Toro Grajales, MD, MPH

  • Geriatric Medicine (Family Medicine) Physician
  • Bayamon, PR
National Provider Identifier
1063487171
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
7177 Issued in PR
Practice address
B7 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 780-9316
Fax
(787) 778-4793
NPI assigned
Feb 22, 2006
Last updated
Aug 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 7177 PR Primary

Addresses

Primary practice location

B7 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6902

Mailing address

B7 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9316

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
I20060623000101 PR Practitioner - Geriatric MedicinePractitioner - Family Practice 8426026220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CDT GMSP IncGroup PAC ID 1355317751, 6 clinicians

Practice addresses (Care Compare)

B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7177PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CDT G.M,S.P., Inc Geriatric Medicine CurrentSince Jul 22, 2002 Accepting new patients
CDT GMSP Inc CurrentSince Sep 12, 2011 Accepting new patients
CDT GMSP, Inc Current Accepting new patients
Cooperativa de Facultad Medica Sanacoop CurrentSince Dec 17, 2013 Accepting new patients
CDT GMSP Inc Past Accepting new patients
Metro-North Aco Inc Past Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

Organizations & group practices 8

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1063487171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9316",
            "fax_number": "787-778-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9316",
            "fax_number": "787-778-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORO GRAJALES",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "7177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.