Individual provider Active NPI

Elizabeth Sanjurjo, MD

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1669506598
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14503 Issued in PR
Practice address
Hospital Wilma N. Vazquez
Carr No. 2 KM. 39.5
Vega Baja, PR 00693
Phone
(787) 858-1580
NPI assigned
Mar 15, 2007
Last updated
Mar 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14503 PR Primary

Addresses

Primary practice location

Hospital Wilma N. Vazquez
Carr No. 2 KM. 39.5
Vega Baja, PR 00693

Mailing address

Miramelinda 416
Urb. Sabanera
Cidra, PR 00739

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070330000344 PR Practitioner - General Practice 1153425111 Reassigns benefits to 2 organizations
Practice locations: Cidra, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince May 10, 2013 Accepting new patients
Integrate Community Health System CurrentSince Mar 1, 2017 Accepting new patients
Instituto Medico del Norte Inc CurrentSince May 10, 2013 Accepting new patients
Integrate Community Health System Current Accepting new patients
Integrate Community Health System, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Proactive Primary Care LLC General Practice PastSince Oct 2, 2022 Accepting new patients
Centro de Medicina Oncologica de Puerto Rico, CSP Past Accepting new patients

Locations

426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1669506598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRAMELINDA 416",
            "address_2": "URB. SABANERA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "fax_number": "787-714-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL WILMA N. VAZQUEZ",
            "address_2": "CARR NO. 2 KM. 39.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJURJO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.