Organization Active NPI

Progressive Healthcare Partners L.L.C.

  • Foot & Ankle Surgery Podiatrist
  • San Juan, PR
National Provider Identifier
1407244759
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0094 Issued in PR
Legal business name
PROGRESSIVE HEALTHCARE PARTNERS L.L.C.
Practice address
1494 Roosevelt Ave. Suite 101
Caparra Heights
San Juan, PR 00921-2705
Phone
(787) 645-0875
Fax
(787) 273-1452
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Carlos Arroyo Romeu, DPM
Title
President
Phone
(787) 645-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 0094 PR Primary

Addresses

Primary practice location

1494 Roosevelt Ave. Suite 101
Caparra Heights
San Juan, PR 00921-2705

Mailing address

1494 Roosevelt Avenue Suite 101
Caparra Heights
San Juan, PR 00921-2705
Phone (787) 645-0875

Other identifiers 1

IdentifierTypeStateIssuer
0094OtherPRPODIATRIST LICENSE OF PUERTO RICO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202000746 PR Part B Supplier - Ambulatory Surgical Center 0345673539 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1494 Ave Fd Roosevelt
Ste 201
San Juan, PR 00920
Phone (787) 782-1453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1407244759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 ROOSEVELT AVENUE SUITE 101",
            "address_2": "CAPARRA HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212705",
            "telephone_number": "787-645-0875",
            "fax_number": "787-273-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 ROOSEVELT AVE. SUITE 101",
            "address_2": "CAPARRA HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212705",
            "telephone_number": "787-645-0875",
            "fax_number": "787-273-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTHCARE PARTNERS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ARROYO ROMEU",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-645-0875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PR",
            "license": "0094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIST LICENSE OF PUERTO RICO",
            "identifier": "0094",
            "state": "PR"
        }
    ],
    "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 23, 2015; 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.