Organization Active NPI

Five Stars Medical Group LLC

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1962133702
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIVE STARS MEDICAL GROUP LLC
Practice address
200 Calle Cupey GDNS Ste 8W
San Juan, PR 00926-7373
Phone
(787) 292-2770
Fax
(787) 292-8045
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Authorized official

Name
Dr. Ricardo Martinez-Duran, MDNPI 1548265242
Title
Ceo
Phone
(787) 704-9897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

200 Calle Cupey GDNS Ste 8W
San Juan, PR 00926-7373

Mailing address

352 Calle San Claudio Ste 164
San Juan, PR 00926-4143
Phone (787) 292-2770

National Provider Directory

National Provider Directory

Locations

352 Calle San Claudio
Ste 164
San Juan, PR 00926

200 Calle Cupey Gdns
Ste 8W
San Juan, PR 00926
Phone (787) 292-2770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1962133702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CALLE SAN CLAUDIO STE 164",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264143",
            "telephone_number": "787-292-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE CUPEY GDNS STE 8W",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267373",
            "telephone_number": "787-292-2770",
            "fax_number": "787-292-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STARS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-DURAN",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-704-9897",
        "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.