Active NPI
Jose Manuel Garay, M.D.
- Pediatrics Physician
- Patillas, PR
National Provider Identifier
1790749687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12632
- Practice address
- 99 Guillermo Riefkhol Street
Patillas, PR 00723 - Phone
- (787) 839-4320
- Fax
- (787) 839-4320
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12632 | PR | Primary |
Addresses
Primary practice location
99 Guillermo Riefkhol Street
Patillas, PR 00723
Mailing address
PO Box 9201
Humacao, PR 00792-9201
Phone (787) 907-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12632 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Servicios Primarios de Salud de Patillas Inc. | Past | Accepting new patients | |
| Centro Servicios Primarios de Salud de Patillas Inc. | Past | Accepting new patients |
Interoperability endpoints
- jose.garay@cspsp.directbygreenway.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Patillas, PR
- NPI 1164532792
-
- Radiology Clinic/Center
- Patillas, PR
- NPI 1366654337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1790749687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9201",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007929201",
"telephone_number": "787-907-8333",
"fax_number": "787-907-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 GUILLERMO RIEFKHOL STREET",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-839-4320",
"fax_number": "787-839-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAY",
"first_name": "JOSE",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.