NPIMap

Organization Active NPI

Alternativa Moderna de Medicina Especializada Inc

  • Specialist
National Provider Identifier
1972536258
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALTERNATIVA MODERNA DE MEDICINA ESPECIALIZADA INC
Practice address
877 Campo Rico Avenue
San Juan, PUERTO RICO 99024
UM
Phone
(787) 701-4938
Fax
(787) 701-4790
NPI assigned
Jul 9, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Mrs. Lilia E OteroNPI 1679776181
Title
President
Phone
(787) 464-5050

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
Specialist 174400000X PR Primary

Addresses

Primary practice location

877 Campo Rico Avenue
San Juan, PUERTO RICO 99024
UM

Mailing address

877 Campo Rico Avenue
San Juan, PUERTO RICO 00924
UM
Phone (787) 701-4938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070112000304 PR Part B Supplier - Clinic/Group Practice 0547268310 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Alternativa Moderna de Medicina Especializada6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1972536258",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "877 CAMPO RICO AVENUE",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00924",
            "telephone_number": "787-701-4938",
            "fax_number": "787-701-4790"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "877 CAMPO RICO AVENUE",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "99024",
            "telephone_number": "787-701-4938",
            "fax_number": "787-701-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVA MODERNA DE MEDICINA ESPECIALIZADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-464-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.