SPECIALIZED MEDICAL GROUP INC (NPI# 1962885871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962885871 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED MEDICAL GROUP INC |
| Practice Address |
735 Ave Ponce De Leon Suite 715 San Juan PR 00917-5022 |
| Practice Telephone | 7873787748 |
| Practice Fax Number | 9393365424 |
| Mailing Telephone | 7873787748 |
| Mailing Fax Number | 9393365424 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | PEDRO F DEL VALLE (PRESIDENT) |
| Authorized Official Telephone | 7873787748 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11593 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
735 AVE PONCE DE LEON SUITE 715 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900093 | Ismael Torres Rosario | Internal Medicine | 735 Ave Ponce De Leon, Ste 408, San Juan, PR 00917-5025 | 2005-05-23 |
| 1699309161 | Oncology & Body Imaging Psc | Radiology | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2020-02-24 |
| 1881181394 | Leduard Leon Pons Sr. | Student in an Organized Health Care Education/Training Program | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2018-04-19 |
| 1326598426 | Gi Med Consulting LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste 816, San Juan, PR 00918 | 2016-10-12 |
| 1780034421 | Sanglan Pediatric Surgery LLC | Surgery | 735 Ave Ponce De Leon, Clinicas Pediatricas Hospital Auxilio Mutuo, San Juan, PR 00917-0000 | 2016-06-14 |
| 1407223308 | Dra Lilliana Ramirez Garcia P.s.c. | Dermatology | 735 Ave Ponce De Leon, Suite 209, San Juan, PR 00917-5022 | 2015-08-26 |
| 1366821126 | Ym Gastro LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo 707, San Juan, PR 00917-5022 | 2015-05-27 |
| 1639568132 | Liz M Betancourt | Psychologist | 735 Ave Ponce De Leon, Torre Medica De Auxlio Mutuo Suite 203, San Juan, PR 00917 | 2015-01-21 |
| 1396143673 | Optica Visual Corner | Eyewear Supplier (Equipment, not the service) | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste. 25, San Juan, PR 00917-5022 | 2014-12-18 |
| 1467859751 | Renal Medical Care | Clinic/Center | 735 Ave Ponce De Leon, Suite 814, San Juan, PR 00917-5022 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1770129652 | Dr Guillermo Cruz Palomo Internal Medicine Psc | Internal Medicine | 78 Pinero St., Pueblo De Rio Piedras, San Juan, PR 00925-3614 | 2019-11-26 |
| 1669029377 | Daniel E Font Rivera | Internal Medicine | H3 Paseo San Juan, San Juan, PR 00926 | 2019-08-19 |
| 1497307532 | Grupo Advantage Metro LLC | Internal Medicine | 1551 Alda Street, Urb. Caribe, San Juan, PR 00926 | 2019-07-09 |
| 1437714318 | Simply Medical Group LLC | Internal Medicine | 36 Corporate Office Park Pr 20 Suite 301, San Juan, PR 00966 | 2019-05-06 |
| 1295293991 | Grupo San Mateo LLC | Internal Medicine | 1413 Ave Ponce De Leon, Suite 504, San Juan, PR 00907 | 2019-03-12 |
| 1932683562 | Josue Alejandro Ocasio Tapia | Internal Medicine | University Distr Bo Monacillos, San Juan, PR 00935-9111 | 2018-09-19 |
| 1215439765 | Caribbean Endocrinology Care | Internal Medicine | Urb University Gardens Calle Yale 196, Apt 102, San Juan, PR 00927 | 2018-03-01 |
| 1265961650 | Hector Alejandro Oliveras Cordero | Internal Medicine | Av Americo Miranda S/n San Juan 00935, San Juan, PR 00935-0001 | 2017-06-08 |
| 1114452398 | Jonathan Vargas | Internal Medicine | University District Hospital Prmc, San Juan, PR 00936 | 2017-04-26 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.