Pastrana Toledo Medical Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PASTRANA TOLEDO MEDICAL GROUP, LLC

Practice address

505 Ave Hostos Interior
San Juan, PR 00918-3201

Phone

(787) 902-6631

Fax

(787) 339-2700

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo J Pastrana, MD

Title

President/Medical Director

Phone

(787) 902-6631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Guillermo J Pastrana Maisonet, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1124307814
  Medicare reassignment Care Compare group NPD
• Gloria C Toledo, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1245348838
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1922609650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8578",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100578",
            "telephone_number": "787-902-6631",
            "fax_number": "787-339-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AVE HOSTOS INTERIOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183201",
            "telephone_number": "787-902-6631",
            "fax_number": "787-339-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTRANA TOLEDO MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-902-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oujayra Pastiana Garcia, PHARMACY TECHNICIAN
• Carmen J Pastor, PHT.
• Manuel Josue Pastrana Arroyo, MD
• Guillermo J Pastrana Maisonet, MD
• Elisamuel Pastrana Pasarell
• Carmen Pastrana, PH.D
• Edwin G Pastrana
• Naisha Pastrana, MSW
• Yahaira M. Patin-Betancourt
• Jorge A. Patino, DMD

• 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 Nov 9, 2020; 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.