Active NPI
Juan A Jurado, M.D.
- Ophthalmology Physician
- Fajardo, PR
National Provider Identifier
1366633315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 3608
- Practice address
- Ave General Valero 375
Suite 106
Fajardo, PR 00738-0669 - Phone
- (787) 863-3040
- NPI assigned
- Aug 6, 2007
- Last updated
- May 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 3608 | PR | Primary |
Addresses
Primary practice location
Ave General Valero 375
Suite 106
Fajardo, PR 00738-0669
Mailing address
PO Box 669
Fajardo, PR 00738-0669
Phone (787) 863-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94766 | Other | PR | TRIPLE S PIN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Juan a Jurado C S P | Ophthalmology | Current | Accepting new patients |
Locations
375 Ave General Valero
Ste 107
Fajardo, PR 00738
Phone (787) 860-5882
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Fajardo, PR
- NPI 1710961453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1366633315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007380669",
"telephone_number": "787-863-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE GENERAL VALERO 375",
"address_2": "SUITE 106",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007380669",
"telephone_number": "787-863-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "JUAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "3608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S PIN",
"identifier": "94766",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
- Jorge Santiago Santiago (Farmacia Monte Brisas)
- Jose J Lopez Agudo Oftalmologo CSP
- Jose R.Fernandez MD,LLC
- JRC Maxillofacial Services,PSC
- Pedro Jose Jurado Cotto, RPH
- JV Medical & Health Care Services LLC
- Laboratorio Clinico Birriel LLC
- Laboratorio Clinico Fajardo, Inc.
- Laboratorio Clinico Monte Sol, LLC
- Laboratorio Clinico Paoli, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.