Individual provider Active NPI

Jumana Abuomar, M.D.

  • Nephrology Physician
  • Canovanas, PR
National Provider Identifier
1104028307
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
16751 Issued in PR
Practice address
Villas de Loiza Calle 1 Bloque B1
Altos Farmacia Medina II
Canovanas, PR 00729
Phone
(787) 886-3254
Fax
(787) 957-1555
NPI assigned
Jun 1, 2007
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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 16751 PR
Nephrology Physician 207RN0300X 16751 PR Primary

Addresses

Primary practice location

Villas de Loiza Calle 1 Bloque B1
Altos Farmacia Medina II
Canovanas, PR 00729

Mailing address

PO Box 1358
Canovanas, PR 00729-1358
Phone (787) 886-3254

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
I20081113000330 PR Practitioner - NephrologyPractitioner - Internal Medicine 3678633179 Practice locations: Canovanas, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Canovanas, PR 00729

Villas de Loiza Calle 1 Bloque
B1 Altos Farmacia Medina II
Canovanas, PR 00729
Phone (787) 886-3254

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16751PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montalvo Nephrology Institute PSC Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1104028307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291358",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAS DE LOIZA CALLE 1 BLOQUE B1",
            "address_2": "ALTOS FARMACIA MEDINA II",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUOMAR",
        "first_name": "JUMANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16751",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "16751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.