Organization Active NPI

Consorcio Multisalud del Norte, Inc.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1649805631
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONSORCIO MULTISALUD DEL NORTE, INC.
Practice address
1551 Alda St.
Urb. Caribe
San Juan, PR 00926
Phone
(787) 625-2500
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Mr. Roberto Bengoa
Title
Officer
Phone
(787) 625-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1551 Alda St.
Urb. Caribe
San Juan, PR 00926

Mailing address

1551 Alda St.
Urb. Caribe
San Juan, PR 00926
Phone (787) 625-2500

National Provider Directory

National Provider Directory

Locations

1551 Calle Alda
San Juan, PR 00926
Phone (787) 356-2134

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1649805631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ALDA ST.",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 ALDA ST.",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSORCIO MULTISALUD DEL NORTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BENGOA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "787-625-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Mar 10, 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.