Individual provider Active NPI

Grolamis Burgos-Monserrate, MD

  • General Practice Physician
  • San Lorenzo, PR
National Provider Identifier
1255989935
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21552 Issued in PR
Practice address
Barrio Quebrada Carr 181 Ramal 929 KM 3.0
San Lorenzo, PR 00754
Phone
(787) 363-3212
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21552 PR Primary

Addresses

Primary practice location

Barrio Quebrada Carr 181 Ramal 929 KM 3.0
San Lorenzo, PR 00754

Mailing address

PO Box 1273
Juncos, PR 00777-1273
Phone (787) 363-3212

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
I20200107000212 PR Practitioner - General Practice 4183058787 Reassigns benefits to 3 organizations
Practice locations: Caguas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Ambulatory Services Inc-Cayey CurrentSince Jan 15, 2023 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Nov 30, 2019 Accepting new patients
PR Healthcare Management Group CurrentSince Nov 9, 2019 Accepting new patients
PR Healthcare Management Group CurrentSince Nov 9, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Nov 30, 2019 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1255989935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771273",
            "telephone_number": "787-363-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO QUEBRADA CARR 181 RAMAL 929 KM 3.0",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-363-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS-MONSERRATE",
        "first_name": "GROLAMIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.