JSS Nephrology, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

14403 Issued in PR

Legal business name

JSS NEPHROLOGY, PSC

Practice address

363 Calle Jose Espinosa
Borinquen Gardens
San Juan, PR 00926-6324

Phone

(787) 602-3072

NPI assigned

Aug 15, 2009

Organization subpart

No

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

Authorized official

Name

Jose Santiago

Title

Employe

Phone

(787) 461-3929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Santiago-Santiago, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1619071859

  PR

  Medicare reassignment

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1659503282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CALLE JOSE ESPINOSA",
            "address_2": "BORINQUEN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266324",
            "telephone_number": "787-602-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CALLE JOSE ESPINOSA",
            "address_2": "BORINQUEN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266324",
            "telephone_number": "787-602-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSS NEPHROLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-15",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "EMPLOYE",
        "authorized_official_telephone_number": "787-461-3929"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.