NPIMap

Individual provider Active NPI

Jose M Palou Abasolo, M.D.

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1407897994
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11379 Issued in PR
Practice address
140 Ave Las Cumbres
140 Ave Las Cumbres Ofic 201
Guaynabo, PR 00969-5523
Phone
(787) 731-5785
Fax
(787) 287-2487
NPI assigned
Jun 8, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11379 PR Primary
Radiation Oncology Physician 2085R0001X 11379 PR

Addresses

Primary practice location

140 Ave Las Cumbres
140 Ave Las Cumbres Ofic 201
Guaynabo, PR 00969-5523

Mailing address

140 Ave Las Cumbres
Guaynabo Medical Mall Ofic 201
Guaynabo, PR 00969-5523
Phone (787) 731-5785

Other identifiers 1

IdentifierTypeStateIssuer
24458OtherPRMEDICARE INDIVIDUAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aps Clinics of Puerto Rico, Inc. Psychiatry Past Accepting new patients
Grupo Sepi LLC Past Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Past Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1407897994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES",
            "address_2": "GUAYNABO MEDICAL MALL OFIC 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523",
            "telephone_number": "787-731-5785",
            "fax_number": "787-287-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES",
            "address_2": "140 AVE LAS CUMBRES OFIC 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523",
            "telephone_number": "787-731-5785",
            "fax_number": "787-287-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOU ABASOLO",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11379",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "11379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBER",
            "identifier": "24458",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.