Puerto Rico Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

11058 Issued in PR

Legal business name

PUERTO RICO MEDICAL GROUP

Practice address

1607 Ave Ponce de Leon
Cobian's Plaza Suite GM 4
San Juan, PR 00909-1820

Phone

(787) 923-0062

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ana Ivette Alvarado-Santos, M.DNPI 1649236654

Title

President

Phone

(787) 923-0062

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ana Ivette Alvarado-Santos, M. D.

  • Specialist
  • The Villages, FL
  • NPI 1649236654
  Authorized official Same address or phone

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1548497357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "COBIAN'S PLAZA SUITE GM 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "787-923-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "COBIAN'S PLAZA SUITE GM 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "787-923-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ALVARADO-SANTOS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-923-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puerto Rico Eye Specialists LLC
• Puerto Rico Hand and Sports Rehabilitation LLC
• Puerto Rico Hip Institute LLC
• Puerto Rico Imaging SJ Inc
• Puerto Rico Medical Group
• Puerto Rico Medical Services, LLC
• Puerto Rico Medical Transport, Inc. (Transmedical Health Services)
• Puerto Rico Medical Transportation, Inc.
• Puerto Rico Metropolitan Urology LLC
• Puerto Rico Orthopedic Sports Medicine LLC

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.