Juan Carlos Galloza Otero, M.D.
Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · San German, PR
NPI 1598042871 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1598042871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
- License
- 21007 (PR)
- Practice address
- Torre San Vicente de Paul 1St Floor
Carr 2 KM 173
San German, PR 00683-0001 - Phone
- (787) 892-1860
- Fax
- (787) 892-3810
- NPI assigned
- Nov 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Puerto Rico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Rehabilitation Services Inc
Practice addresses (Care Compare)
Uu43 Calle
Bayamon, PR 00956-4701
Phone (787) 787-8669
Hospital & facility affiliations
- CMS Home Care Sur LLC
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc
- First Home Care Center Inc.
- Advanced Home Care Service West Inc
- Hospital de la Concepcion
- Hospital Menonita Ponce
- Hospital Episcopal San Lucas II
- Hospital de la Concepcion
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190123002688 | PR | Practitioner - Physical Medicine and Rehabilitation |
9032406962 | Practice locations: San German, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45586 | TX | MD | Pharmacist |
| 21007 | PR | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital de la Concepcion Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | R0234 | TX | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician |
2081S0010X | 21007 | PR | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | R0234 | TX |
Addresses
Primary practice location
Torre San Vicente de Paul 1St Floor
Carr 2 KM 173
San German, PR 00683-0001
Mailing address
154 Paseo Cielo Y Mar
Vista Bahia
Penuelas, PR 00624-9756
Phone (787) 509-9725
Other practice location 1
1333 Moursund
TIRR Memorial Hermann Hospital
Houston, TX 77030
Phone (713) 799-5942
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8GD142 | Other | TX | BCBS |
Other providers in San German, PR
- Jose Ramon Fuentes Rodriguez
- Yussef Galib Frangie
- Galib Medical Group PSC
- Glarines Galicia Feliciano
- Walytza Galindo-Vazquez
- Kasandra Garcia Alvarez
- Yussel C Garcia-Amador
- Libet Yanira Garcia
- Victoria M Gill
- GLG Preventive Medicine Center PSC
All providers in San German, PR · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.