Organization Active NPI

Simply Medical Group LLC

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1437714318
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on May 6, 2019

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.