Organization Active NPI

Platinum Health Care Management Group LLC

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
National Provider Identifier
1124590732
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLATINUM HEALTH CARE MANAGEMENT GROUP LLC
Practice address
121 Urb El Vedado Calle Loaiza Cordero
San Juan, PR 00918
Phone
(787) 545-2718
Fax
(787) 545-2794
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Dr. Jorge Mejia Valle, MD
Title
President
Phone
(787) 366-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

121 Urb El Vedado Calle Loaiza Cordero
San Juan, PR 00918

Mailing address

130 Winston Churchill Ave
PMB 359 Suite 1
San Juan, PR 00926-0734
Phone (787) 545-2718

National Provider Directory

National Provider Directory

Locations

121 Calle Loaiza Cordero
San Juan, PR 00918
Phone (201) 294-0073

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": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1124590732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WINSTON CHURCHILL AVE",
            "address_2": "PMB 359 SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260734",
            "telephone_number": "787-545-2718",
            "fax_number": "787-545-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 URB EL VEDADO CALLE LOAIZA CORDERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-545-2718",
            "fax_number": "787-545-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTH CARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "MEJIA VALLE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-366-7726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Feb 12, 2019; 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.