Individual provider Active NPI

Victor M Simons, MD

  • General Practice Physician
  • Canovanas, PR
National Provider Identifier
1871513408
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14469 Issued in PR
Practice address
Calle Corchado Final
1616
Canovanas, PR 00729
Phone
(787) 876-5000
Fax
(787) 876-2422
NPI assigned
Jul 19, 2006
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14469 PR Primary

Addresses

Primary practice location

Calle Corchado Final
1616
Canovanas, PR 00729

Mailing address

PO Box 4469
Carolina, PR 00984-4469
Phone (787) 876-5000

Other practice location 1

Carr 185 KM 0.6 Lote Sona Industrial Comercial
Local #1
Canovanas, PR 00729
Phone (787) 615-5575

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14469PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Medical Management Group General Practice PastSince Mar 12, 2023 Accepting new patients
Multy Therapy Kids PastSince Sep 10, 2023 Accepting new patients
SM Medical Services, CSP General Practice Past Accepting new patients
Canovanas Medical Center CSP Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1871513408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4469",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009844469",
            "telephone_number": "787-876-5000",
            "fax_number": "787-876-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORCHADO FINAL",
            "address_2": "1616",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-876-5000",
            "fax_number": "787-876-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 185 KM 0.6 LOTE SONA INDUSTRIAL COMERCIAL",
            "address_2": "LOCAL #1",
            "address_purpose": "LOCATION",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "country_code": "US",
            "telephone_number": "787-615-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "VICTOR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.