Ashford Sports & Wellness Medicine Center

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

11046 Issued in PR

Legal business name

ASHFORD SPORTS & WELLNESS MEDICINE CENTER

Practice address

1451 Ashford
San Juan, PR 00907-1511

Phone

(787) 724-3500

Fax

(787) 725-0485

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlos E Jimenez, MD

Title

Medical Director

Phone

(787) 724-3500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1710186341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-724-3500",
            "fax_number": "787-725-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-724-3500",
            "fax_number": "787-725-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD SPORTS & WELLNESS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-724-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": "11046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashford Medical Center Radiology Offices PSC
• Ashford Oral & Maxillofacial Surgery LLC
• Ashford Pediatric Group Partnership
• Ashford Periodontics and Implants PSC
• Ashford Radiology PSC
• Asociacion de Maestros de P R
• Asociacion Hospital del Maestro
• Asociacion Hospital del Maestro Inc
• Asociacion Puertorriquena del Pulmon
• Asociacion Suzuki de Puerto Rico

• Physiological Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Physiological Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.