Individual provider Active NPI

Angel J Defendini-Corretjer, M. D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1538474846
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18908 Issued in PR
Practice address
Paseo Mayor 2 St. #a-3
San Juan, PR 00926
Phone
(787) 667-1976
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18908 PR Primary

Addresses

Primary practice location

Paseo Mayor 2 St. #a-3
San Juan, PR 00926

Mailing address

Paseo Mayor 2 St. #a-3
San Juan, PR 00926
Phone (787) 667-1976

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229001046 PR Practitioner - Internal Medicine 6800119769 Reassigns benefits to 5 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Med PSCGroup PAC ID 5294138566, 11 clinicians

Practice addresses (Care Compare)

Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health PSC CurrentSince Mar 1, 2015 Accepting new patients
Hope Med PSC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 1, 2014 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jan 1, 2016 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Hospital Menonita de Cayey CurrentSince Jan 1, 2016 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 1, 2014 Accepting new patients
Femme OBGYN Past Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1538474846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO MAYOR 2 ST. #A-3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-667-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO MAYOR 2 ST. #A-3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-667-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFENDINI-CORRETJER",
        "first_name": "ANGEL",
        "middle_name": "J",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.