NPIMap

Individual provider Active NPI

Juan Carlos Galloza Otero, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San German, PR
National Provider Identifier
1598042871
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
21007 Issued in 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
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X R0234 TX
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081S0010X 21007 PR Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123002688 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 9032406962 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
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 IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Uu43 Calle
Bayamon, PR 00956-4701
Phone (787) 787-8669

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital de la Concepcion Inc Past 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.

Hospital & facility affiliations 10

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1598042871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PASEO CIELO Y MAR",
            "address_2": "VISTA BAHIA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249756",
            "telephone_number": "787-509-9725",
            "fax_number": "787-892-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN VICENTE DE PAUL 1ST FLOOR",
            "address_2": "CARR 2 KM 173",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830001",
            "telephone_number": "787-892-1860",
            "fax_number": "787-892-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Moursund",
            "address_2": "TIRR Memorial Hermann Hospital",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-799-5942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOZA OTERO",
        "first_name": "JUAN CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "R0234",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "21007",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R0234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.