Juan J Medina, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

11756 Issued in PR

Practice address

735 Ponce de Leon Ave
Suite 609
San Juan, PR 00917-5028

Phone

(787) 753-8533

Fax

(787) 758-0373

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.Group PAC ID 4183602832, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Merit-based Incentive Payment System (MIPS)

Final score

78.6 of 100Reported as group

Quality

66.19

Improvement activities

40

Cost

73.97

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtirado@1628.securemail.prognocis.com
• Direct secure messaging: juan.medinatirado@4281.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  dba Grupo Cirugias Higado y Trasplantes Auxilio Mutuo

  • Specialist
  • San Juan, PR
  • NPI 1487947214
  Medicare reassignment Care Compare group NPD
• Hato Rey Urology, LLC

  • Urology Physician
  • San Juan, PR
  • NPI 1588241723
  Medicare reassignment
• J.M. Urology, C.S.P.

  • Health Maintenance Organization
  • San Juan, PR
  • NPI 1790070266
  Authorized official Same address or phone
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Rehabilitation Clinic/Center
  • San Juan, PR
  • NPI 1992369615
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356352587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "SUITE 609",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175028",
            "telephone_number": "787-753-8533",
            "fax_number": "787-758-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "SUITE 609",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175028",
            "telephone_number": "787-753-8533",
            "fax_number": "787-758-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JUAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "11756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Jose Medina
• Haydee Medina, CLINICAL NURSE SPECI
• Jose A Medina, DMD
• Juan I Medina, MD
• Juan Israel Medina Jr., D.D.S. M.S.
• Luis A Medina, M.D.
• Manuel Medina, M.D.
• Margarita Medina, M.D.
• Maria A Medina, REGISTER NURSE
• Mariana Beatriz Medina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.