Nicolle Spence, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19243 Issued in PR

Practice address

70 Calle Santa Cruz
Bayamon, PR 00961-7052

Phone

(787) 620-4747

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ER Specialized Care LLCGroup PAC ID 6507122967, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• ER Specialized Care LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
  • NPI 1144758814
  Medicare reassignment Care Compare group NPD
• Centro Medico del Turabo Inc

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1013145812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617052",
            "telephone_number": "787-620-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "NICOLLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SP Radiology
• Speakers Clinics, Inc.
• Special Treatment Ambulance Transport Inc
• Speech Box LLC
• Speech Buddies
• Spina Bifida & Hydrocephalus Association of Puerto Rico, Inc
• SPM Doctors Services Group PSC
• Sportmed International, LLC.
• Sr. Cita Corp.
• St Lukes Episcopal Church Home Care Program

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.