Jose R Tavarez Borrell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14299 Issued in PR

Practice address

124 Ave Winston Churchill
Edif El Senorial, Oficina 310
Rio Piedras, PR 00926-6064

Phone

(787) 274-2862

Fax

(787) 274-2862

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1669415709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CALLE CITADEL",
            "address_2": "REPARTO UNIVERSITARIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261824",
            "telephone_number": "787-767-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 AVE WINSTON CHURCHILL",
            "address_2": "EDIF EL SENORIAL, OFICINA 310",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266064",
            "telephone_number": "787-274-2862",
            "fax_number": "787-274-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ BORRELL",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Gil Solivan Ortiz, M.D.
• St Jude Nursing Home Inc
• St Jude Urgency Care Group PSC
• Gloria M. Suau - Sanchidrian, M.D.
• Supramed
• Cristina Tavera Montanez, MD
• Juan T Tomasini, MD
• Damaris Torres Paoli, M.D.
• Juan Carlos Torres Sanchez, M.D.
• Aileen Marie Torres, D.M.D.

• Family Medicine Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.