NPIMap

Organization Active NPI

Island Medical Group

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1336352483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
32CNC04-328PR Issued in PR
Legal business name
ISLAND MEDICAL GROUP
Practice address
Avenida la Constitucion #530
Suite 350
San Juan, PR 00901
Phone
(787) 279-7512
Fax
(787) 279-7512
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arcilio Alvarado Rosas, M.D.
Title
President
Phone
(787) 306-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 32CNC04-328PR PR Primary

Addresses

Primary practice location

Avenida la Constitucion #530
Suite 350
San Juan, PR 00901

Mailing address

PO Box 194000
PMB 279
San Juan, PR 00919
Phone (787) 279-7512

National Provider Directory

National Provider Directory
Tax ID family
Island Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

530 Ave de la Constitucion
Ste 350
San Juan, PR 00901
Phone (787) 279-7512

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336352483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194000",
            "address_2": "PMB 279",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-279-7512",
            "fax_number": "787-279-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LA CONSTITUCION #530",
            "address_2": "SUITE 350",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-279-7512",
            "fax_number": "787-279-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "ARCILIO",
        "authorized_official_middle_name": "ALVARADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-306-8356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "32CNC04-328PR",
            "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 Aug 22, 2020; 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.