Individual provider Active NPI

Jose M Bird, M.D.

  • Otolaryngology Physician
  • San Juan, PR
National Provider Identifier
1790844348
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9343 Issued in PR
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

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 0345406187, 51 clinicians

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

LicenseStateTypeSpecialty
9343PRMDOtolaryngology 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.

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

Verify at the official NPI Registry.