Organization Active NPI

Grupo Med

  • Hospitalist Physician
  • San Juan, PR
National Provider Identifier
1629682125
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.