Individual provider Active NPI

Jose Luis Bruno, M.D.

  • Primary Care Clinic/Center
  • Caguas, PR
National Provider Identifier
1407976491
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ACN581 Issued in FL
Practice address
G1 Calle Almacigo
Urb. Arbolada
Caguas, PR 00727-1311
Phone
(787) 745-4899
Fax
(787) 745-4899
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11,242 PR
Primary Care Clinic/Center 261QP2300X ACN581 FL Primary

Addresses

Primary practice location

G1 Calle Almacigo
Urb. Arbolada
Caguas, PR 00727-1311

Mailing address

6726 Hanley Rd
Urb. Arbolada
Tampa, FL 33634-4739
Phone (813) 284-7903

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

State licenses

LicenseStateTypeSpecialty
11242PRMDClinical Social Worker
11,242PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Diangostico Integral PR Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1407976491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 HANLEY RD",
            "address_2": "URB. ARBOLADA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344739",
            "telephone_number": "813-284-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1 CALLE ALMACIGO",
            "address_2": "URB. ARBOLADA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271311",
            "telephone_number": "787-745-4899",
            "fax_number": "787-745-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11,242",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ACN581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.