Organization Active NPI

Optimus Medical LLC

  • Internal Medicine Physician
  • San Juan PR, PR
National Provider Identifier
1912599218
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OPTIMUS MEDICAL LLC
Practice address
Cond. Las Carmelitas Apt. 3E
Calle San Jorge #364
San Juan, PR, PR 00912
Phone
(787) 226-8490
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Jose G Ayala Garcia, MD
Title
President and Ceo
Phone
(787) 226-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Cond. Las Carmelitas Apt. 3E
Calle San Jorge #364
San Juan, PR, PR 00912

Mailing address

Cond. Las Carmelitas Apt. 3E
Calle San Jorge #364
San Juan, PR, PR 00912
Phone (787) 226-8490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1912599218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. LAS CARMELITAS APT. 3E",
            "address_2": "CALLE SAN JORGE #364",
            "city": "SAN JUAN, PR",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-226-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. LAS CARMELITAS APT. 3E",
            "address_2": "CALLE SAN JORGE #364",
            "city": "SAN JUAN, PR",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-226-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOSE G",
        "authorized_official_middle_name": "AYALA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "787-226-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan PR, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.