Nitza Medero, LIC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1047 Issued in PR

Practice address

158 Calle Cedro
Urb Los Robles
Moca, PR 00676-4213

Phone

(939) 717-0069

Fax

(787) 823-4306

NPI assigned

Apr 6, 2010

Last updated

Apr 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Puerto Rico School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Fisiatrico Dr Angel Colon

  • Physical Therapy Clinic/Center
  • Arecibo, PR
  • NPI 1902099278

  Physical Therapist

  Medicare reassignment NPD
• Aguadilla Medical Services, Inc

  • Radiology Clinic/Center
  • Aguadilla, PR
  • NPI 1902210800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1003131707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CALLE CEDRO",
            "address_2": "URB LOS ROBLES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764213",
            "telephone_number": "939-717-0069",
            "fax_number": "787-823-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CALLE CEDRO",
            "address_2": "URB LOS ROBLES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764213",
            "telephone_number": "939-717-0069",
            "fax_number": "787-823-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDERO",
        "first_name": "NITZA",
        "credential": "LIC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "1047",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaritza Martir
• Maria Isabel Matias Vega
• Israel Matias, MD
• MD.SGH.OB/GYN PSC
• Medco Medical Equipment Inc (Medco Pharmacy)
• Elsem G Medina Nunez
• Nayrin Z Medina Soto
• Amneris Medina Vazquez
• Keavette Mejias, MS
• Jorge Luis Mendez Colon, M.D.

• Specialist in Moca, PR
• Providers in Moca, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.