NPIMap

Organization Active NPI

Centro Medicina Familia Geriatria Dr. Luis Izquierdo Mora

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1255469003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CENTRO MEDICINA FAMILIA GERIATRIA DR. LUIS IZQUIERDO MORA
Practice address
1107 Calle William Jones
San Juan, PR 00925-3441
Phone
(787) 764-8018
Fax
(787) 763-5801
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carlos M Garcia, M.D.
Title
President
Phone
(787) 764-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PR Primary

Addresses

Primary practice location

1107 Calle William Jones
San Juan, PR 00925-3441

Mailing address

1107 Calle William Jones
San Juan, PR 00925-3441
Phone (787) 764-8018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255469003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CALLE WILLIAM JONES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253441",
            "telephone_number": "787-764-8018",
            "fax_number": "787-763-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CALLE WILLIAM JONES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253441",
            "telephone_number": "787-764-8018",
            "fax_number": "787-763-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICINA FAMILIA GERIATRIA DR. LUIS IZQUIERDO MORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-764-8018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Jul 21, 2022; 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.