J.M. Urology, C.S.P.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11756 Issued in PR

Legal business name

J.M. UROLOGY, C.S.P.

Practice address

735 Ave Ponce de Leon
.609 Torre Auxilio Mutuo
San Juan, PR 00917-5022

Phone

(787) 753-8533

Fax

(787) 758-0373

NPI assigned

Jun 13, 2011

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan J Medina, M.D.,NPI 1356352587

Title

President

Phone

(787) 753-8533

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan J Medina, MD

  • Urology Physician
  • San Juan, PR
  • NPI 1356352587
  Authorized official Same address or phone

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1790070266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": ".609 TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-753-8533",
            "fax_number": "787-758-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": ".609 TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-753-8533",
            "fax_number": "787-758-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M. UROLOGY, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-753-8533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "11756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernardo Izaguirre, MD, FAAP
• Natalio Izquierdo Encarnacion, MD
• Carmen Rita Izquierdo, M.D.
• Emmanuel J Izquierdo, PSY. D
• Victoria Maria Izquierdo
• J.R.a.Gastroenterology
• Jab Ophthalmics, PSC
• Jaime J Jackson Diaz, MD
• Iris Jackson Moya, PHD
• Jag Medical LLC

• Health Maintenance Organization in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.