Clinica Sanamed LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICA SANAMED LLC

Practice address

Crown Hill Calle Carite 125
Esquina Ave. Parana, Local #2
San Juan, PR 00926

Phone

(939) 945-8458

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Jorge Montalvo, MDNPI 1437665064

Title

Persona Autorizada

Phone

(787) 674-4124

Specialties & licenses 2

Addresses

Other names 1

• CLINICA SANAMED LLC Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Jorge J Montalvo, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1437665064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1861167124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SUMMIT HILLS",
            "address_2": "CALLE GREENWOOD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204322",
            "telephone_number": "939-945-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROWN HILL CALLE CARITE 125",
            "address_2": "ESQUINA AVE. PARANA, LOCAL #2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-945-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SANAMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PERSONA AUTORIZADA",
        "authorized_official_telephone_number": "787-674-4124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA SANAMED LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.