Organization Active NPI

Dr.Juan L.Romero Basso CSP

  • Exclusive Provider Organization
  • San Juan, PR
National Provider Identifier
1104210145
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
9038 Issued in PR
Legal business name
DR.JUAN L.ROMERO BASSO CSP
Practice address
239 Ave Arterial Hostos
Suite 806 Capital Center Sur
San Juan, PR 00918-1474
Phone
(787) 766-1919
Fax
(787) 250-8156
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Juan Luis Romero, M.D.
Title
Owner
Phone
(787) 766-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 9038 PR Primary

Addresses

Primary practice location

239 Ave Arterial Hostos
Suite 806 Capital Center Sur
San Juan, PR 00918-1474

Mailing address

239 Ave Arterial Hostos
Suite 806 Capital Center Sur
San Juan, PR 00918-1474
Phone (787) 766-1919

National Provider Directory

National Provider Directory

Locations

239 Ave Arterial Hostos
Ste 806
San Juan, PR 00918
Phone (787) 758-4411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1104210145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 806 CAPITAL CENTER SUR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-766-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 806 CAPITAL CENTER SUR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-766-1919",
            "fax_number": "787-250-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JUAN L.ROMERO BASSO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-766-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "9038",
            "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 Mar 27, 2015; 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.