Organization Active NPI

Geriatric Healthcare Group, P.S.C.

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1386739860
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12292 Issued in PR
Legal business name
GERIATRIC HEALTHCARE GROUP, P.S.C.
Practice address
54 Street S.E./ #1276
Urb. la Riviera
San Juan, PR 00921
Phone
(787) 381-0247
Fax
(787) 755-9005
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Jorge Paoli-Bruno, M.D.
Title
President
Phone
(787) 381-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 12292 PR Primary

Addresses

Primary practice location

54 Street S.E./ #1276
Urb. la Riviera
San Juan, PR 00921

Mailing address

P.O. Box 194288
San Juan, PR 00919-4288
Phone (787) 381-0247

National Provider Directory

National Provider Directory

Locations

115 Carr 592
#56
Juana Diaz, PR 00795

1276 Calle 54 SE
San Juan, PR 00921
Phone (787) 381-0247

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1386739860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 194288",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194288",
            "telephone_number": "787-381-0247",
            "fax_number": "787-755-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 STREET S.E./ #1276",
            "address_2": "URB. LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-381-0247",
            "fax_number": "787-755-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HEALTHCARE GROUP, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "PAOLI-BRUNO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-381-0247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12292",
            "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 Jan 27, 2010; 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.