Organization Active NPI

San Pablo Family Practice Inc

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1316911241
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11712 Issued in PR
Legal business name
SAN PABLO FAMILY PRACTICE INC
Practice address
64 Calle Santa Cruz
Galeria Medica Suite 103
Bayamon, PR 00961-6910
Phone
(787) 780-8444
Fax
(787) 780-8444
NPI assigned
Feb 15, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Jose E Rivera Mattei, MD
Title
President
Phone
(787) 780-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11712 PR Primary

Addresses

Primary practice location

64 Calle Santa Cruz
Galeria Medica Suite 103
Bayamon, PR 00961-6910

Mailing address

1615 Calle Ozama
Urb. Rio Piedras Heights
San Juan, PR 00926-2902
Phone (787) 764-1818

National Provider Directory

National Provider Directory

Locations

64 Calle Santa Cruz
Ste 103
Bayamon, PR 00961
Phone (787) 473-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1316911241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CALLE OZAMA",
            "address_2": "URB. RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262902",
            "telephone_number": "787-764-1818",
            "fax_number": "787-780-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "GALERIA MEDICA SUITE 103",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-780-8444",
            "fax_number": "787-780-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA MATTEI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.