Individual provider Active NPI

Jose F Mariani, M.D.

  • Pediatrics Physician
  • Guaynabo, PR
National Provider Identifier
1669538583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12023 Issued in PR
Practice address
28 Calle Sonata
Munoz Rivera
Guaynabo, PR 00969-3709
Phone
(787) 553-3604
Fax
(787) 553-3604
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12023 PR Primary

Addresses

Primary practice location

28 Calle Sonata
Munoz Rivera
Guaynabo, PR 00969-3709

Mailing address

28 Calle Sonata
Munoz Rivera
Guaynabo, PR 00969-3709
Phone (787) 553-3604

Other identifiers 1

IdentifierTypeStateIssuer
12023OtherPRMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12023PRMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: sjcjmaria@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669538583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CALLE SONATA",
            "address_2": "MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693709",
            "telephone_number": "787-553-3604",
            "fax_number": "787-553-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE SONATA",
            "address_2": "MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693709",
            "telephone_number": "787-553-3604",
            "fax_number": "787-553-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "JOSE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12023",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.