Active NPI
San Juan City Hospital
- Pediatric Nephrology Physician
- San Juan, PR
National Provider Identifier
1982633012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 5341
- Legal business name
- SAN JUAN CITY HOSPITAL
- Practice address
- San Juan City Hospital
Centro Medico
San Juan, PR 00928 - Phone
- (787) 765-7618
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Arminda Gomez-Vazquez, MD
- Title
- Pediatric Nephrology
- Phone
- (787) 765-0521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 5341 | PR | Primary |
Addresses
Primary practice location
San Juan City Hospital
Centro Medico
San Juan, PR 00928
Mailing address
185 Costa Rica Street
Cond Teide Apt. 902
San Juan, PR 00917-2535
Phone (787) 593-6861
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982633012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 COSTA RICA STREET",
"address_2": "COND TEIDE APT. 902",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172535",
"telephone_number": "787-593-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN JUAN CITY HOSPITAL",
"address_2": "CENTRO MEDICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00928",
"telephone_number": "787-765-7618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JUAN CITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOMEZ-VAZQUEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "ARMINDA",
"authorized_official_title_or_position": "PEDIATRIC NEPHROLOGY",
"authorized_official_telephone_number": "787-765-0521",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "PR",
"license": "5341",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.