Active NPI
Recinto de Ciencias Medicas
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1467524967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RECINTO DE CIENCIAS MEDICAS
- Practice address
- Ave. 65 de Infanteria
Carr. #3 KM 8.3
San Juan, PR 00929-0207 - Phone
- (787) 757-6330
- Fax
- (787) 757-0520
- NPI assigned
- Nov 14, 2006
- Organization subpart
- Yes
- Parent organization
- RECINTO DE CIENCIAS MEDICAS-CAROLINA
Authorized official
NPPES NPI Registry- Name
- Mrs. Myriam Troche, RHIA
- Title
- Credentialing Coordinator
- Phone
- (787) 758-2525
Corporate family (same tax ID) 24
Practitioners 57
-
Juan Carlos Arraut, M.D.
-
Daisy Baez-Franceschi, M.D.
-
Hector L Banchs, MD
-
Roldan Cabret, MD
-
Ivonne Z Jimenez-Velazquez, MD, FACP
-
Reynold E Lopez, MD
-
Marcel A. Mesa - Pabon, M.D.
-
Juan Jose Nieves-Rivera, M.D.
-
Gisela D Puig Carrion, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041108000919 | PR | Part B Supplier - Clinic/Group Practice | 3678469962 |
Receives reassigned benefits from 38 practitioners Practice locations: Carolina, PR |
National Provider Directory
- Tax ID family
- GRP OB-GYN Caguas
- Part of
- GRP OB-GYN Caguas
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Infectious Disease Physician | 207RI0200X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Neurology Physician | 2084N0400X |
Addresses
NPPES NPI RegistryPrimary practice location
Ave. 65 de Infanteria
Carr. #3 KM 8.3
San Juan, PR 00929-0207
Mailing address
PO Box 29207
San Juan, PR 00929-0207
Phone (787) 757-6330
Other names 1
NPPES NPI Registry- Medicina Interna
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1467524967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29207",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009290207",
"telephone_number": "787-757-6330",
"fax_number": "787-757-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. 65 DE INFANTERIA",
"address_2": "CARR. #3 KM 8.3",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009290207",
"telephone_number": "787-757-6330",
"fax_number": "787-757-0520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECINTO DE CIENCIAS MEDICAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RECINTO DE CIENCIAS MEDICAS-CAROLINA",
"enumeration_date": "2006-11-14",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "TROCHE",
"authorized_official_first_name": "MYRIAM",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "787-758-2525",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RHIA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicina Interna",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.