Organization Active NPI

Universal Medical Option, Inc

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1205296183
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17238 Issued in PR
Legal business name
UNIVERSAL MEDICAL OPTION, INC
Practice address
113 Calle Rodrigo de Triana
El Vedado
San Juan, PR 00918
Phone
(787) 282-2680
Fax
(787) 282-2683
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mr. Gonzalo Lopez Aleman
Title
Executive Director
Phone
(787) 282-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 17238 PR Primary

Addresses

Primary practice location

113 Calle Rodrigo de Triana
El Vedado
San Juan, PR 00918

Mailing address

113 Calle Rodrigo de Triana
El Vedado
San Juan, PR 00918
Phone (787) 282-2680

Other identifiers 1

IdentifierTypeStateIssuer
620087500OtherPRDEPARTMENT OF LABOR, OFFICE OF WORKERS COMPENSATION

National Provider Directory

National Provider Directory

Locations

113 Calle Rodrigo de Triana
San Juan, PR 00918
Phone (787) 282-2680

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1205296183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE RODRIGO DE TRIANA",
            "address_2": "EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-282-2680",
            "fax_number": "787-282-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE RODRIGO DE TRIANA",
            "address_2": "EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-282-2680",
            "fax_number": "787-282-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL OPTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ ALEMAN",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-282-2680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR, OFFICE OF WORKERS COMPENSATION",
            "identifier": "620087500",
            "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 Mar 4, 2016; 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.