OrganizationActive
San Juan Medical Group Corp
NPI 1154359719 · Prosthetic/Orthotic Supplier · Guanica, PR
Provider details
- NPI number
- 1154359719
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Javier Reyes, President(787) 821-0210
- License
- 08P2295 (PR)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Carretera 116 Km 24 6
Guanica, PR 00653
Phone: (787) 821-0210
Fax: (787) 821-4433
Mailing address
Po Box 5102
Yauco, PR 00698-5102
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.