Organization Active NPI

Jose Bermudez Ginecologo CSP

  • Specialist
National Provider Identifier
1710367644
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9282 Issued in PR
Legal business name
JOSE BERMUDEZ GINECOLOGO CSP
Practice address
Edificio Dr Arturo Cadilla
Suite 408 #100 Paseo San Pablo
Bayamon, PUERTO RICO 00961-7028
UM
Phone
(787) 787-1060
Fax
(787) 785-7421
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Jose A Bermudez, M.D.
Title
Doctor
Phone
(787) 787-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9282 PR Primary

Addresses

Primary practice location

Edificio Dr Arturo Cadilla
Suite 408 #100 Paseo San Pablo
Bayamon, PUERTO RICO 00961-7028
UM

Mailing address

100 Paseo San Pablo
Suite 408
Bayamon, PUERTO RICO 00961-7028
UM
Phone (787) 787-1060

National Provider Directory

National Provider Directory

Locations

100 Paseo San Pablo
Ste 408
Bayamon, PR 00961
Phone (787) 740-8116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1710367644",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "SUITE 408",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "009617028",
            "telephone_number": "787-787-1060",
            "fax_number": "787-785-7421"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "EDIFICIO DR ARTURO CADILLA",
            "address_2": "SUITE 408 #100 PASEO SAN PABLO",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "009617028",
            "telephone_number": "787-787-1060",
            "fax_number": "787-785-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE BERMUDEZ GINECOLOGO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-787-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.