Organization Active NPI

JP Internal & Cardiovascular Medicine PSC

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1134470404
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8158 Issued in PR
Legal business name
JP INTERNAL & CARDIOVASCULAR MEDICINE PSC
Practice address
735 Ave Ponce de Leon
Suite 415 Torre de Auxilio Mutuo
San Juan, PR 00917-5022
Phone
(787) 763-9813
Fax
(787) 763-9820
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Josue Pabon Landron, MDNPI 1932105863
Title
President/Owner
Phone
(787) 763-9813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8158 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 415 Torre de Auxilio Mutuo
San Juan, PR 00917-5022

Mailing address

PO Box 192382
San Juan, PR 00919-2382
Phone (787) 763-9813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000060 PR Part B Supplier - Clinic/Group Practice 6608013453 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1134470404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192382",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192382",
            "telephone_number": "787-763-9813",
            "fax_number": "787-763-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 415 TORRE DE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-763-9813",
            "fax_number": "787-763-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP INTERNAL & CARDIOVASCULAR MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "PABON LANDRON",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "787-763-9813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8158",
            "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 May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.