St Jude Urgency Care Group PSC

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

ST JUDE URGENCY CARE GROUP PSC

Practice address

1214 Calle Jose Abad
Club Manor
Rio Piedras, PR 00924-4336

Phone

(787) 257-0765

Fax

(787) 757-3439

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Hector E Jaca

Title

Ceo

Phone

(787) 614-0736

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396844320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9117",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889117",
            "telephone_number": "787-614-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 CALLE JOSE ABAD",
            "address_2": "CLUB MANOR",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009244336",
            "telephone_number": "787-257-0765",
            "fax_number": "787-757-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE URGENCY CARE GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-614-0736"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Silen - Rivera, M.D.
• Frieda Silva - Hernandez, MD
• Soc Dres Atilano Leon, Jose a Morales, Edgar Echevarria (Soc Cirugia Oral y Maxilofacial)
• Pedro Gil Solivan Ortiz, M.D.
• St Jude Nursing Home Inc (St JUde Nursing & Rehab Facility)
• Gloria M. Suau - Sanchidrian, M.D.
• Supramed
• Jose R Tavarez Borrell, MD
• Cristina Tavera Montanez, MD
• Juan T Tomasini, MD

• Personal Emergency Response Attendant in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Personal Emergency Response Attendant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.