Organization Active NPI

Juan Barrientos G Medical Services

  • Internal Medicine Physician
  • Sabana Grande, PR
National Provider Identifier
1336338748
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
009787 Issued in PR
Legal business name
JUAN BARRIENTOS G MEDICAL SERVICES
Practice address
22 Betances Lowr
Sabana Grande, PR 00683
Phone
(787) 804-0020
Fax
(787) 804-0020
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Juan M Barrientos, MD
Title
President
Phone
(787) 804-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 009787 PR Primary

Addresses

Primary practice location

22 Betances Lowr
Sabana Grande, PR 00683

Mailing address

PMB 376
PO Box 5075
San German, PR 00683
Phone (787) 804-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080626000410 PR Part B Supplier - Clinic/Group Practice 2264504893 Receives reassigned benefits from 1 practitioner
Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory

Locations

22 Calle Betances
Sabana Grande, PR 00637
Phone (787) 804-0020

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1336338748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 376",
            "address_2": "PO BOX 5075",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-804-0020",
            "fax_number": "787-804-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BETANCES LOWR",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-804-0020",
            "fax_number": "787-804-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN BARRIENTOS G MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-804-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "009787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.