Active NPI
Jose E. Asencio, M.D.
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1689600413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9267
- Practice address
- 10 Calle Casia
VA Carribbean Health Care System
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- Fax
- (787) 641-4578
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 9267 | PR | |
| Occupational Medicine Physician | 2083X0100X | 9267 | PR | |
| Internal Medicine Physician | 207R00000X | 9267 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
VA Carribbean Health Care System
San Juan, PR 00921-3200
Mailing address
Y6 Calle Arizona
Ext. Parkville
Guaynabo, PR 00969-3922
Phone (787) 200-8512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9267 | Other | PR | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9267 | PR | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1689600413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Y6 CALLE ARIZONA",
"address_2": "EXT. PARKVILLE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693922",
"telephone_number": "787-200-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"address_2": "VA CARRIBBEAN HEALTH CARE SYSTEM",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582",
"fax_number": "787-641-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASENCIO",
"first_name": "JOSE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PR",
"license": "9267",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "9267",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "9267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "9267",
"state": "PR"
}
],
"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 Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.