NPIMap

Organization Active NPI

Physician HMO Inc.

Doing business as IPA 500 Centro Mas Salud Dr. Javier Javier Anton

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1922379718
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIAN HMO INC.
Doing business as
IPA 500 Centro Mas Salud Dr. Javier Javier Anton
Practice address
Calle Pinero Num 1 Esq Vallejo
Rio Piedras, PR 00921
Phone
(787) 767-8758
NPI assigned
Jan 25, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIAN HMO INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Mr. Raul D Villalobos, MDNPI 1700589249
Title
President
Phone
(787) 767-8758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

Calle Pinero Num 1 Esq Vallejo
Rio Piedras, PR 00921

Mailing address

PO Box 193044
San Juan, PR 00919-3044
Phone (787) 767-8758

Other names 1

  • IPA 500 Centro Mas Salud Dr. Javier Javier Anton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician HMO Inc7 organizations share this tax ID, including this one
Part of
Physician HMO Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1922379718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193044",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193044",
            "telephone_number": "787-767-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PINERO NUM 1 ESQ VALLEJO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-767-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HMO INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN HMO INC.",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-767-8758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPA 500 Centro Mas Salud Dr. Javier Javier Anton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.