Jesus R Amparo
Individual provider Active NPI Internal Medicine Physician · Bayamon, PR
NPI 1376514653 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1376514653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 11206 (PR)
- Practice address
- Bayamon Medical Plaza
Suite 509
Bayamon, PR 00960 - Phone
- (787) 785-4686
- Fax
- (787) 785-4686
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Bayamon Medical Plaza
Bayamon, PR 00959
Phone (787) 785-4646
Hospital & facility affiliations
- Salud Integral En la Montana Inc
- Corporacion Las Vegas, LLC
- Hospicio Luz de Esperanza Inc
- Bayamon Medical Center
- Doctors' Center Bayamon
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000624 | PR | Practitioner - Internal Medicine | 2365636222 | Practice locations: Bayamon, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11206 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayamon Medical Center Corp | Past | Accepting new patients | |
| Doctors Center Hospital Bayamon Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11206 | PR | Yes |
Addresses
Primary practice location
Bayamon Medical Plaza
Suite 509
Bayamon, PR 00960
Mailing address
PO Box 11368
San Juan, PR 00922-1368
Phone (787) 785-4686
NPI Registry JSON
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1376514653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11368",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009221368",
"telephone_number": "787-785-4686",
"fax_number": "787-785-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLAZA",
"address_2": "SUITE 509",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-785-4686",
"fax_number": "787-785-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMPARO",
"first_name": "JESUS",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "11206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
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- Am Acquisition I, LLC
- Paola Maria Amador Ramirez
- Yassel Ambert
- Amor a la Familia, Inc
- Amq Medical Equipment
- Amssca
- Amxor Healthcare LLC
- Jose Guillermo Amy
- Analytics Provider LLC
All providers in Bayamon, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.