Active NPI
Alfredo Jose Corretjer, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1669668554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7973
- Practice address
- 500 Ave Munoz Rivera
Suite 240
San Juan, PR 00918-3300 - Phone
- (787) 765-2410
- Fax
- (787) 765-2410
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7973 | PR | Primary |
Addresses
Primary practice location
500 Ave Munoz Rivera
Suite 240
San Juan, PR 00918-3300
Mailing address
500 Ave Munoz Rivera
Suite 240
San Juan, PR 00918-3300
Phone (787) 765-2410
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7973 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1669668554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 AVE MUNOZ RIVERA",
"address_2": "SUITE 240",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183300",
"telephone_number": "787-765-2410",
"fax_number": "787-765-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVE MUNOZ RIVERA",
"address_2": "SUITE 240",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183300",
"telephone_number": "787-765-2410",
"fax_number": "787-765-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRETJER",
"first_name": "ALFREDO",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "7973",
"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 Sep 24, 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.