Active NPI
Jose M Bird, M.D.
- Otolaryngology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9343
- Practice address
- Cond. Torre de Auxilio Mutuo
Suite 711 Ave. Ponce de Leon # 735
San Juan, PR 00917-5030 - Phone
- (787) 765-2563
- Fax
- (787) 274-1886
- NPI assigned
- Dec 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 9343 | PR | |
| Otolaryngology Physician | 207Y00000X | 9343 | PR | Primary |
Addresses
Primary practice location
Cond. Torre de Auxilio Mutuo
Suite 711 Ave. Ponce de Leon # 735
San Juan, PR 00917-5030
Mailing address
Cond. Torre de Auxilio Mutuo
Suite 711 Ave. Ponce de Leon # 735
San Juan, PR 00917-5030
Phone (787) 765-2563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120919000469 | PR | Practitioner - Otolaryngology | 4183872914 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University Central del Caribe Escuela de Medicina, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Rehabilitation Services Inc
Practice addresses (Care Compare)
735 Ave Ponce de Leon
Suite 711
San Juan, PR 00917-5030
Phone (787) 765-2563
Cond Torre de Auxicio Mutuo 735 Ave Ponce de Leon
Suite 711
San Juan, PR 00917-5030
Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9343 | PR | MD | Otolaryngology Physician |
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.
-
- Physical Therapy Clinic/Center
- Bayamon, PR
- NPI 1952933764
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Bayamon, PR
- NPI 1982976536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1790844348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. TORRE DE AUXILIO MUTUO",
"address_2": "SUITE 711 AVE. PONCE DE LEON # 735",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175030",
"telephone_number": "787-765-2563",
"fax_number": "787-274-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. TORRE DE AUXILIO MUTUO",
"address_2": "SUITE 711 AVE. PONCE DE LEON # 735",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175030",
"telephone_number": "787-765-2563",
"fax_number": "787-274-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "JOSE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "PR",
"license": "9343",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PR",
"license": "9343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.