NPIMap

Organization Active NPI

Instituto de Medicina Interna Y Geriatria

  • Specialist
  • San Juan, PR
National Provider Identifier
1629279781
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6881 Issued in PR
Legal business name
INSTITUTO DE MEDICINA INTERNA Y GERIATRIA
Practice address
400 Ave FD Roosevelt
Suite 408
San Juan, PR 00918-1156
Phone
(787) 751-8739
NPI assigned
May 29, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Carlos Fernandez-SifreNPI 1306876867
Title
Medical Director
Phone
(787) 751-8739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 6881 PR Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 7387 PR
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 9138 PR

Addresses

Primary practice location

400 Ave FD Roosevelt
Suite 408
San Juan, PR 00918-1156

Mailing address

F.D. Roosevelt Ave.
Suite 408
San Juan, PR 00918-1156
Phone (787) 751-8739

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1629279781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F.D. ROOSEVELT AVE.",
            "address_2": "SUITE 408",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181156",
            "telephone_number": "787-751-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 408",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181156",
            "telephone_number": "787-751-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE MEDICINA INTERNA Y GERIATRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-SIFRE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-751-8739",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "6881",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "7387",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "9138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.