Healthcare Provider Details

I. General information

NPI: 1407744733
Provider Name (Legal Business Name): MULTISPECIALTY GROUP OF PUERTO RICO PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PASEO ALTO 33 CALLE 2
SAN JUAN PR
00926
US

IV. Provider business mailing address

PASEO ALTO 33 CALLE 2
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAIME G APONTE
Title or Position: INCORPORATE
Credential: MD
Phone: 787-393-9680