Organization Active NPI

Convention Health Center

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1821374745
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CONVENTION HEALTH CENTER
Practice address
Ave Fernandez Juncos
#600
San Juan, PR 00907-3181
Phone
(787) 969-3853
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Jesus Manuel Galvez, MDNPI 1588248959
Title
Corporate Executive Officer
Phone
(787) 457-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Ave Fernandez Juncos
#600
San Juan, PR 00907-3181

Mailing address

PO Box 7602
Caguas, PR 00726-7602
Phone (787) 457-0974

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1821374745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7602",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267602",
            "telephone_number": "787-457-0974",
            "fax_number": "787-724-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FERNANDEZ JUNCOS",
            "address_2": "#600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073181",
            "telephone_number": "787-969-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENTION HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CORPORATE EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "787-457-0974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Oct 24, 2011; 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.