Active NPI
San Patricio Medical Group Inc.
- Health Service Clinic/Center
- Hato Rey, PR
National Provider Identifier
1508990342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.