Organization Active NPI

JCM Pediatric Hospitalist Services of Puerto Rico CSP

  • Specialist
  • Bayamon, PR
National Provider Identifier
1952468126
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10867 Issued in PR
Legal business name
JCM PEDIATRIC HOSPITALIST SERVICES OF PUERTO RICO CSP
Practice address
Carr #2 KM 11.9 Interior Bo. Pajaros
Puerto Rico Children'S Hospital
Bayamon, PR 00959
Phone
(787) 974-8282
NPI assigned
Jan 3, 2007
Organization subpart
Yes
Parent organization
JCM PEDIATRIC HOSPITALIST SERVICES OF PUERTO RICO CSPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Jose Manuel Cantellops, M.D.
Title
President
Phone
(787) 731-2721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 10867 PR Primary

Addresses

Primary practice location

Carr #2 KM 11.9 Interior Bo. Pajaros
Puerto Rico Children'S Hospital
Bayamon, PR 00959

Mailing address

B-22 Southview CT.,
Baldwin Park
Guaynabo, PR 00969
Phone (787) 731-2721

National Provider Directory

National Provider Directory
Tax ID family
JCM Pediatric Hospitalist Services of Puerto Rico2 organizations share this tax ID, including this one
Part of
JCM Pediatric Hospitalist Services of Puerto Rico

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1952468126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B-22 SOUTHVIEW CT.,",
            "address_2": "BALDWIN PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-731-2721",
            "fax_number": "787-790-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 11.9 INTERIOR BO. PAJAROS",
            "address_2": "PUERTO RICO CHILDREN'S HOSPITAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-974-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCM PEDIATRIC HOSPITALIST SERVICES OF PUERTO RICO CSP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JCM PEDIATRIC HOSPITALIST SERVICES OF PUERTO RICO CSP",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "CANTELLOPS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-731-2721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "10867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.