Hato Rey Medical Gastro,CSP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

7165 Issued in PR

Legal business name

HATO REY MEDICAL GASTRO,CSP

Practice address

735 Ave Ponce de Leon Ste 809
Torre Medica Auxilio Mutuo
San Juan, PR 00917-5031

Phone

(787) 274-1282

Fax

(787) 764-0898

NPI assigned

Jun 20, 2005

Last updated

Jul 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose C Jimenez, MDNPI 1508851049

Title

President

Phone

(787) 274-1282

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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.

• Jose C Jimenez, MD

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1508851049
  Medicare reassignment Care Compare group NPD Authorized official
• Roberto L Casanova, MD

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1437230463
  Medicare reassignment Care Compare group NPD
• Hector L Lozano, MD

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1619083680
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1316942956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 809",
            "address_2": "TORRE MEDICA AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175031",
            "telephone_number": "787-274-1282",
            "fax_number": "787-764-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 809",
            "address_2": "TORRE MEDICA AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175031",
            "telephone_number": "787-274-1282",
            "fax_number": "787-764-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATO REY MEDICAL GASTRO,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-274-1282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "7165",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12594",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "15480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hastings Global LLC
• Hato Rey Gastroenterology Corp.
• Hato Rey Health Clinic PHG
• Hato Rey Hematology Oncology Group
• Hato Rey Hematology Oncology Group
• Hato Rey Medical Supplies & Equipments LLC
• Hato Rey Medical Supplies Inc
• Hato Rey Orthopedic Assoc
• Hato Rey Pathology Associates
• Hato Rey Pathology Associates Inc (HRP Labs)

• Gastroenterology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.