San Juan Medical Group Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SAN JUAN MEDICAL GROUP CORP

Practice address

Carretera 116 KM 24 6
Guanica, PR 00653

Phone

(787) 821-0210

Fax

(787) 821-4433

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Javier Reyes

Title

President

Phone

(787) 821-0210

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154359719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5102",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985102",
            "telephone_number": "787-821-0210",
            "fax_number": "787-821-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 116 KM 24 6",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "00653",
            "telephone_number": "787-821-0210",
            "fax_number": "787-821-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-821-0210"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "08P2295",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57159",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadja L Rodriguez Quinones, PHARMD
• Janet Ivonne Rodriguez, DO
• Roy I Rosado Pagan, D.D.S.
• Rosbel Centro de Terapias Alternativas
• Lyanne Ruiz, DMD
• Frabeth Sanchez, PSYD
• Miriam Enid Santana, M.T.
• Nancy R Seda Melendez, M.D.
• Sergio Serrano Torres, M.SC, PH.D, PHARM.D.
• Maria A Siberon, M.D.

• Prosthetic/Orthotic Supplier in Guanica, PR
• Providers in Guanica, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.