Active NPIOrganization

Specialized Medical Group INC

Internal Medicine in San Juan, Puerto Rico

NPI Number1962885871
Practice location
735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022
Fax
939-336-5424
Last updated
July 9, 2015

Specialized Medical Group INC is a healthcare organization based in San Juan, PR. Specialized Medical Group INC practices in San Juan, PR. The NPI Number for Specialized Medical Group INC is 1962885871 and holds a License No. 11593 (PR). The current practice location address for Specialized Medical Group INC is 735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022 and can be reached out via phone at 787-378-7748 and via fax at 939-336-5424.

Provider Profile Details

NPI Number
1962885871
Provider Name
Specialized Medical Group INC
Provider Entity Type
Organization
Address
735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022
Phone Number
787-378-7748
Fax Number
939-336-5424
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Pedro F Del Valle, MD · President · 787-378-7748
Provider Enumeration Date
July 9, 2015
Last Update Date
July 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Ave Ponce De Leon
Suite 715
San Juan, PR 00917-5022
Zip
00917-5022
Phone Number
787-378-7748
Fax Number
939-336-5424
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
735 Ave Ponce De Leon
Suite 715
San Juan, PR 00917-5022
City
San Juan
State
PR
Zip
00917-5022
Phone Number
787-378-7748
Fax Number
939-336-5424

License Information

License Number
11593
License State
PR
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Specialized Medical Group INC?

The NPI number of Specialized Medical Group INC is 1962885871. It was assigned on July 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Specialized Medical Group INC?

Specialized Medical Group INC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 11593.

Where does Specialized Medical Group INC practice?

The practice location is 735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022. The office can be reached at 787-378-7748 (phone) or 939-336-5424 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962885871 directly on the NPPES registry website.

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