Organization Active NPI

Jcy Internal Medicine PSC

  • Internal Medicine Physician
  • Sabaria Grande, PR
National Provider Identifier
1184238560
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JCY INTERNAL MEDICINE PSC
Practice address
Calle Angel Martinez Esq. San Isidro 25 B
Sabaria Grande, PR 00637
Phone
(787) 804-0399
Fax
(787) 808-5069
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Juan Colon, MD
Title
Prosidente
Phone
(787) 313-4182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

Calle Angel Martinez Esq. San Isidro 25 B
Sabaria Grande, PR 00637

Mailing address

P.O. Box 1179
Sabaria Grande, PR 00637-1179
Phone (787) 804-0399

National Provider Directory

National Provider Directory

Locations

25 Calle San Isidro
#B
Sabana Grande, PR 00637
Phone (787) 804-0399

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1184238560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1179",
            "city": "SABARIA GRANDE",
            "state": "PR",
            "postal_code": "006371179",
            "telephone_number": "787-804-0399",
            "fax_number": "787-808-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANGEL MARTINEZ ESQ. SAN ISIDRO 25 B",
            "city": "SABARIA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-804-0399",
            "fax_number": "787-808-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCY INTERNAL MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PROSIDENTE",
        "authorized_official_telephone_number": "787-313-4182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.