Individual provider Active NPI

Wilfredo Adorno, M.D.

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1013010032
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12550 Issued in PR
Practice address
Bo Beatriz KM 49 1 Carretera Num 1
Cayey, PR 00737
Phone
(787) 640-6226
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12550 PR Primary

Addresses

Primary practice location

Bo Beatriz KM 49 1 Carretera Num 1
Cayey, PR 00737

Mailing address

Bo Beatriz KM 49 1 Carretera Num 1
PMB 2294 PO Box 6400
Cayey, PR 00737
Phone (787) 640-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000279 PR Practitioner - General Practice 1355349895 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12550PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gobierno Municipal de Cayey CurrentSince Oct 12, 2016 Accepting new patients
Gobierno Municipal de Cayey CurrentSince Oct 12, 2016 Accepting new patients

Locations

174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1013010032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO BEATRIZ KM 49 1 CARRETERA NUM 1",
            "address_2": "PMB 2294 PO BOX 6400",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-640-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO BEATRIZ KM 49 1 CARRETERA NUM 1",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-640-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORNO",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.