Individual provider Active NPI

Arturo Medina-Juarbe, MD

  • Family Medicine Physician
  • Yauco, PR
National Provider Identifier
1225155864
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5840 Issued in PR
Practice address
13 Calle Mattei Lluberas
Yauco, PR 00698-3640
Phone
(787) 856-3380
Fax
(787) 856-3380
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5840 PR Primary

Addresses

Primary practice location

13 Calle Mattei Lluberas
Yauco, PR 00698-3640

Mailing address

PO Box 383
Lares, PR 00669-0383
Phone (787) 504-4039

Other identifiers 1

IdentifierTypeStateIssuer
5840OtherPRMEDICAL LICENSE

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
I20110623000646 PR Practitioner - Family Practice 7416135314 Practice locations: Yauco, PR; Lares, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5840PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1225155864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690383",
            "telephone_number": "787-504-4039",
            "fax_number": "787-856-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983640",
            "telephone_number": "787-856-3380",
            "fax_number": "787-856-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-JUARBE",
        "first_name": "ARTURO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "5840",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.