Active NPI
San Judas Medical Services
Doing business as Family Medicine Group
- General Practice Physician
- Carolina, PR
National Provider Identifier
1619079944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16321
- Legal business name
- SAN JUDAS MEDICAL SERVICES
- Doing business as
- Family Medicine Group
- Practice address
- Ave Roberto Clemente 124-8
Villa Carolina
Carolina, PR 00985 - Phone
- (787) 750-4920
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yolanda Ramirez
- Title
- Supervisora
- Phone
- (787) 750-5245
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 237 | PR | |
| Family Medicine Physician | 207Q00000X | 10945 | PR | |
| Internal Medicine Physician | 207R00000X | 7219 | PR | |
| Obstetrics & Gynecology Physician | 207V00000X | 6414 | PR | |
| Pediatrics Physician | 208000000X | 5799 | PR | |
| General Practice Physician | 208D00000X | 16321 | PR | Primary |
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
Ave Roberto Clemente 124-8
Villa Carolina
Carolina, PR 00985
Mailing address
PO Box 3628
Carolina, PR 00984-3628
Phone (787) 750-4920
Other names 1
- FAMILY MEDICINE GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Carolina, PR
- NPI 1255068185
-
- General Practice Physician
- Caguas, PR
- NPI 1548404833
-
- General Practice Physician
- Carolina, PR
- NPI 1386753259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1619079944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3628",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009843628",
"telephone_number": "787-750-4920",
"fax_number": "787-276-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE ROBERTO CLEMENTE 124-8",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-750-4920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JUDAS MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "SUPERVISORA",
"authorized_official_telephone_number": "787-750-5245",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "237",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PR",
"license": "10945",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PR",
"license": "7219",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "6414",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PR",
"license": "5799",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "16321",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY MEDICINE GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.