Organization Active NPI

XPR Medical Group

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1215291190
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
XPR MEDICAL GROUP
Practice address
100 Grand Paseo Blvd Ste 112
San Juan, PR 00926-5955
Phone
(787) 844-4106
Fax
(787) 844-4106
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Jorge Gutierrez, MD
Title
President
Phone
(787) 844-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X PR Primary

Addresses

Primary practice location

100 Grand Paseo Blvd Ste 112
San Juan, PR 00926-5955

Mailing address

100 Grand Paseo Blvd Ste 112
San Juan, PR 00926-5955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1215291190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD STE 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "fax_number": "787-844-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD STE 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-844-4106",
            "fax_number": "787-844-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-844-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 2012; 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.