Active NPI
Jose Miguel Samalot, M.D.
- Pediatrics Physician
- Manati, PR
National Provider Identifier
1114903184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7289
- Practice address
- Plaza Karoma
Manati, PR 00674-5956 - Phone
- (787) 854-7380
- Fax
- (787) 854-7380
- NPI assigned
- Dec 21, 2005
- Last updated
- May 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7289 | PR | Primary |
Addresses
Primary practice location
Plaza Karoma
Manati, PR 00674-5956
Mailing address
PO Box 1131
Manati, PR 00674-1131
Phone (787) 854-7380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99361SA | Other | PR | TRIPLE-S |
| 2991 | Other | PR | INTERNATIONAL MEDICAL CAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7289 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1114903184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1131",
"city": "MANATI",
"state": "PR",
"postal_code": "006741131",
"telephone_number": "787-854-7380",
"fax_number": "787-854-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA KAROMA",
"city": "MANATI",
"state": "PR",
"postal_code": "006745956",
"telephone_number": "787-854-7380",
"fax_number": "787-854-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMALOT",
"first_name": "JOSE",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "7289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "99361SA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "2991",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.