Active NPI
Simply Medical Group LLC
- General Practice Physician
- San Juan, PR
National Provider Identifier
1437714318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SIMPLY MEDICAL GROUP LLC
- Practice address
- 36 Corporate Office Park PR 20 Suite 301
San Juan, PR 00966 - Phone
- (787) 523-5767
- NPI assigned
- May 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Borrego
- Title
- Manager
- Phone
- (787) 523-5767
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
36 Corporate Office Park PR 20 Suite 301
San Juan, PR 00966
Mailing address
PO Box 195615
San Juan, PR 00919-5615
National Provider Directory
National Provider Directory- Tax ID family
- Simply Medical Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- San Juan, PR
- NPI 1417830225
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinic/Center
- San Juan, PR
- NPI 1417830225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557100800000",
"number": "1437714318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195615",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009195615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CORPORATE OFFICE PARK PR 20 SUITE 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-523-5767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A",
"authorized_official_last_name": "BORREGO",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "787-523-5767"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal 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 May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.