Individual provider Active NPI

Joan Eileen Pijem Berrios, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • San Juan, PR
National Provider Identifier
1477500114
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
15883 Issued in PR
Practice address
126 Ave de Diego
Sein Medical Plaza Suite 3
San Juan, PR 00921-3141
Phone
(787) 664-3816
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME87498 FL
Family Medicine Physician 207Q00000X 15883 PR
Geriatric Medicine (Family Medicine) Physician 207QG0300X 15883 PR Primary

Addresses

Primary practice location

126 Ave de Diego
Sein Medical Plaza Suite 3
San Juan, PR 00921-3141

Mailing address

1967 Calle Nogal
Guaynabo, PR 00969-4728
Phone (787) 664-3816

Other names 1

  • Dr. Joan Eileen Pijem Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000900 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 2466436506 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Uu43 Calle
Bayamon, PR 00956-4701
Phone (787) 787-8669

Hospital & facility affiliations

  • Condado Hospice Program Inc Hospice, San Juan, PR, CCN 401521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1477500114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 CALLE NOGAL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694728",
            "telephone_number": "787-664-3816",
            "fax_number": "787-749-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AVE DE DIEGO",
            "address_2": "SEIN MEDICAL PLAZA SUITE 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213141",
            "telephone_number": "787-664-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIJEM BERRIOS",
        "first_name": "JOAN",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87498",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15883",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "15883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "PIJEM",
            "middle_name": "EILEEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.