NPIMap

Organization Active NPI

Medi Ex CSP

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1992030431
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDI EX CSP
Practice address
Arzuaga 112
Suite 605
San Juan, PR 00925-3316
Phone
(787) 646-0202
Fax
(787) 763-0200
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Juan Andujar, 7876460202
Title
Doctor
Phone
(787) 646-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

Arzuaga 112
Suite 605
San Juan, PR 00925-3316

Mailing address

Arzuaga 112
Suite 605
San Juan, PR 00925-3316
Phone (787) 646-0202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1992030431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARZUAGA 112",
            "address_2": "SUITE 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253316",
            "telephone_number": "787-646-0202",
            "fax_number": "787-763-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARZUAGA 112",
            "address_2": "SUITE 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253316",
            "telephone_number": "787-646-0202",
            "fax_number": "787-763-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI EX CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-646-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "7876460202"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Oct 15, 2009; 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.