Active NPI
Jose Luis Bruno, M.D.
- Primary Care Clinic/Center
- Caguas, PR
National Provider Identifier
1407976491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ACN581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11242 | PR | MD | Clinical Social Worker |
| 11,242 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Multi-Specialty Clinic/Center
- Santurce, PR
- NPI 1164482022
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.