Active NPI
Grupo Med
- Hospitalist Physician
- San Juan, PR
National Provider Identifier
1629682125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- GRUPO MED
- Practice address
- First Federal Building Suite 302
1519 Ave Ponce de Leon
San Juan, PR 00909 - Phone
- (787) 725-8101
- Fax
- (787) 725-8101
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- 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
- Samah Ali Shehadeh, MD
- Title
- Presidenta
- Phone
- (787) 529-3102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
First Federal Building Suite 302
1519 Ave Ponce de Leon
San Juan, PR 00909
Mailing address
First Federal Building Suite 302
1519 Ave Ponce de Leon
San Juan, PR 00909
Phone (787) 725-8101
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599004800000",
"number": "1629682125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FIRST FEDERAL BUILDING SUITE 302",
"address_2": "1519 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-725-8101",
"fax_number": "787-725-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIRST FEDERAL BUILDING SUITE 302",
"address_2": "1519 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-725-8101",
"fax_number": "787-725-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUPO MED",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "ALI SHEHADEH",
"authorized_official_first_name": "SAMAH",
"authorized_official_title_or_position": "PRESIDENTA",
"authorized_official_telephone_number": "787-529-3102",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Grupo Gineco-Obstetrico del Norte PSC
- Grupo Ginecologia Hospital Municipal SJ
- Grupo Hospitalista Pediatrico
- Grupo Hospitalistas San Jorge
- Grupo Intensivo Pediatrico de San Juan
- Grupo Medicina Interna HMSJ
- Grupo Medico CDT Dr. Manuel Quevedo Baez
- Grupo Medico CDT Dr.Javier Javier Anton
- Grupo Medico de Barranquitas
- Grupo Medico de Cabo Rojo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.