Bryan Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRYAN INTERNAL MEDICINE LLC

Practice address

735 Ave Ponce de Leon Ste 207
San Juan, PR 00917-5024

Phone

(787) 767-0655

NPI assigned

Nov 14, 2023

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zasha Feliciano

Title

Administrator

Phone

(787) 383-2824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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.

• James Michael Bryan-Diaz, M.D.

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1932413499
  Medicare reassignment
• Rochelle Lee Gotay Lopez

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
  • NPI 1548986367

  Multi-Specialty

  NPD
• Nicolas R Betancourt, M.D.

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1053445403
  NPD (past)
• Vanessa Olivo Echavarry, M.D.

  • Infectious Disease Physician
  • San Juan, PR
  • NPI 1164556361
  NPD (past)

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1386418945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365062",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175024",
            "telephone_number": "787-767-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "ZASHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-383-2824"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Ivan Brunet-Vallejo
• Levid Anthony Bruno Perez, MS
• /Irma M. Bruno, M.A.
• Edwin Bruno, MSW
• Carmen R Bruselas
• James Michael Bryan-Diaz, M.D.
• Maurice Andrew Bryson
• Lizabeth M Budet, O.T.A.
• Buen Provecho Nutrition Services LLC
• Beatriz Helena Bueno

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.