NPIMap

Organization Active NPI

Grupo de Pediatria Facultad Medica Hospital Municipal San Juan

  • Specialist
  • San Juan, PR
National Provider Identifier
1164629275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GRUPO DE PEDIATRIA FACULTAD MEDICA HOSPITAL MUNICIPAL SAN JUAN
Practice address
Hospital Municipal 3 Piso
Centro Medico
San Juan, PR 00936
Phone
(787) 766-2222
Fax
(787) 765-4975
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luis Colon, MD
Title
Predidente Comite Ley 56
Phone
(787) 766-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

Hospital Municipal 3 Piso
Centro Medico
San Juan, PR 00936

Mailing address

PMB 101 Box 70344
San Juan, PR 00936
Phone (787) 766-2222

Other identifiers 1

IdentifierTypeStateIssuer
28352OtherPRSSS

National Provider Directory

National Provider Directory
Tax ID family
Departamento ENT Facultad Medica HMSJ10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 101 BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-766-2222",
            "fax_number": "787-765-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MUNICIPAL 3 PISO",
            "address_2": "CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-766-2222",
            "fax_number": "787-765-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DE PEDIATRIA FACULTAD MEDICA HOSPITAL MUNICIPAL SAN JUAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PREDIDENTE COMITE LEY 56",
        "authorized_official_telephone_number": "787-766-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "28352",
            "state": "PR"
        }
    ],
    "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 22, 2020; 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.