Active NPI
Christopher John Gregory, MD
- Pediatric Critical Care Medicine Physician
- San Juan, PR
National Provider Identifier
1508974064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A96596
- Practice address
- 1324 Calle Canada
San Juan, PR 00920-3860 - Phone
- (787) 706-2399
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | A96596 | CA | Primary |
Addresses
Primary practice location
1324 Calle Canada
San Juan, PR 00920-3860
Mailing address
731 17TH Ave
Salt Lake City, UT 84103-3712
Phone (786) 246-3337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96596 | CA | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1508974064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 17TH AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033712",
"telephone_number": "786-246-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 CALLE CANADA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203860",
"telephone_number": "787-706-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A96596",
"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 Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.