Active NPI
Javier Torres Marin, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1538434329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18505
- Practice address
- 15 Ave. Munoz Rivera Suite #220-B
San Juan, PR 00901 - Phone
- (787) 692-2072
- NPI assigned
- Mar 13, 2012
- Last updated
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18505 | PR | Primary |
Addresses
Primary practice location
15 Ave. Munoz Rivera Suite #220-B
San Juan, PR 00901
Mailing address
PO Box 190766
San Juan, PR 00919-0766
Phone (787) 667-5031
Other practice location 1
Elisa Valle de Alegria #109
Dorado, PR 00646
Phone (787) 667-5031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.conciergemedicalservicespsc.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130405000195 | PR | Practitioner - General Practice | 8820233232 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Medical Services PSC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- San Juan, PR
- NPI 1073164521
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1538434329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190766",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009190766",
"telephone_number": "787-667-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 AVE. MUNOZ RIVERA SUITE #220-B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901",
"telephone_number": "787-692-2072"
}
],
"practiceLocations": [
{
"address_1": "Elisa Valle de Alegria #109",
"address_purpose": "LOCATION",
"city": "Dorado",
"state": "PR",
"postal_code": "00646",
"country_code": "US",
"telephone_number": "787-667-5031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES MARIN",
"first_name": "JAVIER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18505",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.conciergemedicalservicespsc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15 Ave. Munoz Rivera Suite #220-B",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00901",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.