Organization Active NPI

Telemedico LLC

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1427590959
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TELEMEDICO LLC
Practice address
349 Ave Felisa Rincon de Gautier
Paseo Las Cumbres Suite 204
San Juan, PR 00926-6675
Phone
(787) 412-9773
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dr. Jose I Ortiz, M.D.
Title
President
Phone
(787) 412-9773

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

349 Ave Felisa Rincon de Gautier
Paseo Las Cumbres Suite 204
San Juan, PR 00926-6675

Mailing address

349 Ave Felisa Rincon de Gautier
Paseo Las Cumbres Suite 204
San Juan, PR 00926-6675
Phone (787) 412-9773

National Provider Directory

National Provider Directory

Locations

349 Ave Fr de Gautier
Ste 204
San Juan, PR 00926
Phone (787) 412-9773

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1427590959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 AVE FELISA RINCON DE GAUTIER",
            "address_2": "PASEO LAS CUMBRES SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266675",
            "telephone_number": "787-412-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 AVE FELISA RINCON DE GAUTIER",
            "address_2": "PASEO LAS CUMBRES SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266675",
            "telephone_number": "787-412-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-412-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 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.