Organization Active NPI

Alter Ego Orthopedics, P.S.C.

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1114159563
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15626 Issued in PR
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

Updated by the provider on Aug 6, 2013

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.