Organization Active NPI

CMT Group, Corp

Doing business as CMT Group - Sala de Emergencia

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1760948947
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CMT GROUP, CORP
Doing business as
CMT Group - Sala de Emergencia
CMT Group - Sala de Urgencia
Practice address
University Gardens
300 Calle Clemson
San Juan, PR 00927
Phone
(787) 754-6868
Fax
(787) 274-9280
NPI assigned
Feb 13, 2019
Organization subpart
Yes
Parent organization
CMT GROUP CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Xiomara Cabrera, MHSA
Title
Aministrator
Phone
(787) 754-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

University Gardens
300 Calle Clemson
San Juan, PR 00927

Mailing address

University Gardens
300 Calle Clemson
San Juan, PR 00927
Phone (787) 754-6868

Other identifiers 1

IdentifierTypeStateIssuer
CNC14029MedicaidPR

Other names 2

  • CMT GROUP - SALA DE EMERGENCIA Doing business as
  • CMT GROUP - SALA DE URGENCIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CMT Group Corp4 organizations share this tax ID, including this one
Part of
CMT Group Corp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1760948947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY GARDENS",
            "address_2": "300 CALLE CLEMSON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-754-6868",
            "fax_number": "787-274-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY GARDENS",
            "address_2": "300 CALLE CLEMSON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-754-6868",
            "fax_number": "787-274-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMT GROUP, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMT GROUP CORP",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "787-754-6868",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CNC14029",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMT GROUP - SALA DE EMERGENCIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMT GROUP - SALA DE URGENCIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2019; 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.