Active NPI
CMT Group, Corp
Doing business as CMT Group - Sala de Emergencia
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1760948947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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 CORP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNC14029 | Medicaid | PR |
Other names 2
- CMT GROUP - SALA DE EMERGENCIA
- CMT GROUP - SALA DE URGENCIA
National Provider Directory
National Provider Directory- Tax ID family
- CMT Group Corp
- 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.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1053735431
-
- Diagnostic Radiology Physician
- San Juan, PR
- NPI 1497258339
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.