Active NPI
Alter Ego Orthopedics, P.S.C.
- Orthopaedic Surgery Physician
- San Juan, PR
National Provider Identifier
1114159563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15626
- Legal business name
- ALTER EGO ORTHOPEDICS, P.S.C.
- Practice address
- 369 Calle de Diego
Suite 602 Torre San Francisco
San Juan, PR 00923-3003 - Phone
- (787) 688-3500
- Fax
- (786) 472-6851
- NPI assigned
- Aug 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mirylsa Colon-Martinez, M.D.
- Title
- President
- Phone
- (787) 565-5021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15626 | PR | Primary |
Addresses
Primary practice location
369 Calle de Diego
Suite 602 Torre San Francisco
San Juan, PR 00923-3003
Mailing address
138 Ave Winston Churchill
PMB 675
San Juan, PR 00926-6013
Phone (787) 688-3500
National Provider Directory
National Provider DirectoryLocations
369 Calle de Diego
Ste 602
San Juan, PR 00923
Phone (787) 688-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1114159563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL",
"address_2": "PMB 675",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-688-3500",
"fax_number": "786-472-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 CALLE DE DIEGO",
"address_2": "SUITE 602 TORRE SAN FRANCISCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233003",
"telephone_number": "787-688-3500",
"fax_number": "786-472-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTER EGO ORTHOPEDICS, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-19",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "COLON-MARTINEZ",
"authorized_official_first_name": "MIRYLSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-565-5021",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "PR",
"license": "15626",
"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 Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.