Active NPI
Universal Medical Group LLC
- Health Service Clinic/Center
- Toa Baja, PR
National Provider Identifier
1679276208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- UNIVERSAL MEDICAL GROUP LLC
- Practice address
- J22 Calle Myrna
Toa Baja, PR 00949-4551 - Phone
- (787) 434-2559
- NPI assigned
- Mar 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose A Quinones, MD
- Title
- Owner
- Phone
- (939) 264-4822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
J22 Calle Myrna
Toa Baja, PR 00949-4551
Mailing address
J22 Calle Myrna
Toa Baja, PR 00949-4551
Phone (787) 434-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
J22 Calle Myrna
Toa Baja, PR 00949
Phone (787) 434-2559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Toa Baja, PR
- NPI 1174088215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1679276208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J22 CALLE MYRNA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494551",
"telephone_number": "787-434-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J22 CALLE MYRNA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494551",
"telephone_number": "787-434-2559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "QUINONES",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "939-264-4822",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.