Innovance Pulmonary Group, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

INNOVANCE PULMONARY GROUP, LLC

Practice address

68 Calle Santa Cruz
Edif Torres San Pablo Ofic 303
Bayamon, PR 00961

Phone

(787) 785-3923

Fax

(787) 780-4872

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Reinaldo Gonzalez Martinez, MDNPI 1437253952

Title

President

Phone

(787) 645-1662

Specialties & licenses 1

Addresses

Other names 1

• INNOVANCE PULMONARY GROUP, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reinaldo Gonzalez Martinez, MD FCCP

  • Pulmonary Disease Physician
  • Bayamon, PR
  • NPI 1437253952
  NPD (past) Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1548986219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 CALLE JILGUERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267109",
            "telephone_number": "787-785-3923",
            "fax_number": "787-780-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ",
            "address_2": "EDIF TORRES SAN PABLO OFIC 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-3923",
            "fax_number": "787-780-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVANCE PULMONARY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MARTINEZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-645-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVANCE PULMONARY GROUP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pulmonary Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.