NPIMap

Organization Active NPI

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1063974988
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Practice address
715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917
Phone
(787) 771-7934
Fax
(787) 771-7402
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Mr. Rafael Jaca
Title
Bussines Office Director
Phone
(787) 771-7934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 771-7934

Other names 1

  • Pediatras Auxilio Mutuo Other name

National Provider Directory

National Provider Directory
Tax ID family
GRP Med de Familia Ho Aux29 organizations share this tax ID, including this one
Part of
GRP Med de Familia Ho Aux

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dc1174e6-86ee-45ec-8d08-d4cb3d1d2286/

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1063974988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-771-7934",
            "fax_number": "787-771-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "STOP 37.5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-771-7934",
            "fax_number": "787-771-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "JACA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "BUSSINES OFFICE DIRECTOR",
        "authorized_official_telephone_number": "787-771-7934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatras Auxilio Mutuo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 1, 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.