Organization Active NPI

San Patricio Medical Group Inc.

  • Health Service Clinic/Center
  • Hato Rey, PR
National Provider Identifier
1508990342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SAN PATRICIO MEDICAL GROUP INC.
Practice address
Ave. Luis Munoz Rivera #652
Edif. Monte Mall, Suite #2035
Hato Rey, PR 00918
Phone
(787) 756-7078
Fax
(787) 753-1269
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amarilis Monserrate
Title
Administrator
Phone
(787) 756-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Ave. Luis Munoz Rivera #652
Edif. Monte Mall, Suite #2035
Hato Rey, PR 00918

Mailing address

Ave. Luis Munoz Rivera #652
Edif. Monte Mall, Suite #2035
Hato Rey, PR 00918
Phone (787) 756-7078

National Provider Directory

National Provider Directory

Locations

652 Ave Luis Munoz Rivera
Ste 2035
San Juan, PR 00918
Phone (787) 756-7078

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508990342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ RIVERA #652",
            "address_2": "EDIF. MONTE MALL, SUITE #2035",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-756-7078",
            "fax_number": "787-753-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ RIVERA #652",
            "address_2": "EDIF. MONTE MALL, SUITE #2035",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-756-7078",
            "fax_number": "787-753-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PATRICIO MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSERRATE",
        "authorized_official_first_name": "AMARILIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-756-7078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.