Individual provider Active NPI

Jorge Enrique Grovas Porrata, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1215085303
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13330 Issued in PR
Practice address
Condominio Villa Caparra Executive 229 Carr 2
PHG
San Juan, PR 00966
Phone
(787) 613-2225
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 13330 PR
General Practice Physician 208D00000X 13330 PR Primary

Addresses

Primary practice location

Condominio Villa Caparra Executive 229 Carr 2
PHG
San Juan, PR 00966

Mailing address

Condominio Villa Caparra Executive 229 Carr 2
PHG
San Juan, PR 00966
Phone (787) 613-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000362 PR Practitioner - General Practice 9436110889 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13330PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Medical Services, CSP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1215085303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO VILLA CAPARRA EXECUTIVE 229 CARR 2",
            "address_2": "PHG",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-613-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO VILLA CAPARRA EXECUTIVE 229 CARR 2",
            "address_2": "PHG",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-613-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVAS PORRATA",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "13330",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.