Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 9548 | PUERTO RICO | No |
| 2 | 207QG0300X | Family Medicine | Geriatric Medicine | 9548 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 9280057 | OTHER | PUERTO RICO | HUMANA HEALTH PLANS |
| 2 | 069435 | OTHER | PUERTO RICO | CRUZ AZUL |
| 3 | 500168E | OTHER | PUERTO RICO | MEDICARE Y MUCHO MAS (MMM |
| 4 | 660563176 | OTHER | PUERTO RICO | MAPFRE L. |
| 5 | 660563176 | OTHER | PUERTO RICO | PALIC |
| 6 | 660563176 | OTHER | PUERTO RICO | SALUD DORADO CON MEDICARE |
| 7 | 660563176 | OTHER | PUERTO RICO | AUXILIO PLATINO |
| 8 | 20085 | OTHER | PUERTO RICO | PREFERRED HEALTH (UTI) |
| 9 | 81953 | OTHER | PUERTO RICO | TRIPLE S (SSS) |
| 10 | 9280057 | OTHER | PUERTO RICO | HUMANA INSURANCE OF PR |
| 11 | 660563176 | OTHER | PUERTO RICO | MCS CLASSICARE |
| 12 | 660563176 | OTHER | PUERTO RICO | UNITED HEALTH CARE |
| 13 | 81953 | OTHER | PUERTO RICO | MEDICARE OPTIMO |
| 14 | 660563176 | OTHER | PUERTO RICO | OPTION HEALTH CARE |
| 15 | 0082775A | MEDICARE PIN | PUERTO RICO | |
| 16 | 4214 | OTHER | PUERTO RICO | INTERNATIONAL MEDICAL CAR |
| 17 | 660563176 | OTHER | PUERTO RICO | FIRST PLUS |
| 18 | 2758 | OTHER | PUERTO RICO | PREFERRED MEDICARE CHOICE |
| 19 | 660563176 | OTHER | PUERTO RICO | COSVI |
| 20 | 660563176 | OTHER | PUERTO RICO | MEDICAL CARD SYSTEM (MCS) |
