Active NPI
Boston Medical Group, Puerto Rico Inc.
- Urology Physician
- San Juan, PR
National Provider Identifier
1518385228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BOSTON MEDICAL GROUP, PUERTO RICO INC.
- Practice address
- 650 Ave Luis Munoz Rivera
Suite 501
San Juan, PR 00918 - Phone
- (787) 771-4934
- Fax
- (787) 771-4931
- NPI assigned
- Mar 31, 2014
- 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
- Mr. Quoc H. Ha
- Title
- Director
- Phone
- (949) 735-8451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
650 Ave Luis Munoz Rivera
Suite 501
San Juan, PR 00918
Mailing address
650 Ave Luis Munoz Rivera
Suite 501
San Juan, PR 00918
Phone (787) 771-4934
National Provider Directory
National Provider DirectoryLocations
650 Ave Luis Munoz Rivera
Ste 501
San Juan, PR 00918
Phone (787) 771-4934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396224000000",
"number": "1518385228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 AVE LUIS MUNOZ RIVERA",
"address_2": "SUITE 501",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-771-4934",
"fax_number": "787-771-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 AVE LUIS MUNOZ RIVERA",
"address_2": "SUITE 501",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-771-4934",
"fax_number": "787-771-4931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON MEDICAL GROUP, PUERTO RICO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "QUOC",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "949-735-8451",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"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 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.