Active NPI
Instituto de Medicina Interna Y Geriatria
- Specialist
- San Juan, PR
National Provider Identifier
1629279781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6881
- 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
- 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
- Dr. Carlos Fernandez-Sifre
- Title
- Medical Director
- Phone
- (787) 751-8739
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6881 | PR | Primary |
| Specialist | 174400000X | 7387 | PR | |
| Specialist | 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 DirectoryLocations
400 Ave Fd Roosevelt
Ste 408
San Juan, PR 00918
Phone 7877651919408
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Guaynabo, PR
- NPI 1053379065
-
- Internal Medicine Physician
- Guaynabo, PR
- NPI 1336170521
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
- Instituto de Gastroenterologia de P.R.
- Instituto de Gastroenterologia de PR
- Instituto de Hematologia Y Oncologia Medica, SRL
- Instituto de Integracion Y Preservacion Familiar PSC
- Instituto de Manos CSP
- Instituto de Nefrologia E Hipertension
- Instituto de Neurologia Dra. Ivonne Fraga, PSC
- Instituto de Podiatria Y Pie Diabetico de Puerto Rico
- Instituto de Sonografia de PR
- Instituto Dental
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.