Individual provider Active NPI

Euclides Effio Jr., M.D.

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
National Provider Identifier
1265616056
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
80E Issued in PR
Practice address
241 Ave Winston Churchill Apt 16
San Juan, PR 00926-6628
Phone
(787) 761-6060
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 80E PR Primary

Addresses

Primary practice location

241 Ave Winston Churchill Apt 16
San Juan, PR 00926-6628

Mailing address

241 Ave Winston Churchill Apt 16
San Juan, PR 00926-6628
Phone (787) 761-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80EPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1265616056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 AVE WINSTON CHURCHILL APT 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266628",
            "telephone_number": "787-761-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 AVE WINSTON CHURCHILL APT 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266628",
            "telephone_number": "787-761-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFIO",
        "first_name": "EUCLIDES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "80E",
            "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 Dec 28, 2007; 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.