NPIMap

Organization Active NPI

Juana Diaz Medical Group Inc

  • Health Maintenance Organization
  • Juana Diaz, PR
National Provider Identifier
1285692236
Registry record updated Mar 13, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
5253 Issued in PR
Legal business name
JUANA DIAZ MEDICAL GROUP INC
Practice address
Calle Degetau Esquina
Munoz Rivera #45
Juana Diaz, PR 00795-0378
Phone
(787) 837-3530
Fax
(787) 837-3382
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. Maria Teresa Garcia, M.D
Title
Presidente
Phone
(787) 837-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 5253 PR Primary

Addresses

Primary practice location

Calle Degetau Esquina
Munoz Rivera #45
Juana Diaz, PR 00795-0378

Mailing address

PO Box 378
Juana Diaz, PR 00795-0378
Phone (787) 837-3530

Other identifiers 1

IdentifierTypeStateIssuer
0087886OtherPRMEDICARE PROVIDER NUMBER

Other names 1

  • Juana Diaz Medical Group INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1285692236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950378",
            "telephone_number": "787-837-3530",
            "fax_number": "787-837-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DEGETAU ESQUINA",
            "address_2": "MUNOZ RIVERA #45",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950378",
            "telephone_number": "787-837-3530",
            "fax_number": "787-837-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANA DIAZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-837-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "0087886",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juana Diaz Medical Group INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.