Individual provider Active NPI

Nicolle M Arroyo Lluberas

  • Obstetrics & Gynecology Physician
  • Guaynabo, PR
National Provider Identifier
1013460443
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23551 Issued in PR
Practice address
1 Calle San Miguel Apt 66
Guaynabo, PR 00966-7941
Phone
(787) 298-8073
NPI assigned
Aug 2, 2016
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 23551 PR Primary

Addresses

Primary practice location

1 Calle San Miguel Apt 66
Guaynabo, PR 00966-7941

Mailing address

160 Calle Monterrey
Apt 125
Ponce, PR 00716-0346

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
I20240424004269 PR Practitioner - Obstetrics/Gynecology 7719325521 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23551PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Lluberas OBGYN LLC Obstetrics & Gynecology CurrentSince Feb 4, 2024 Accepting new patients
SHC Owner LLC Past Accepting new patients

Locations

900 Carr 696
Dorado, PR 00646
Phone 78762550508127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1013460443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CALLE MONTERREY",
            "address_2": "APT 125",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SAN MIGUEL APT 66",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009667941",
            "telephone_number": "787-298-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO LLUBERAS",
        "first_name": "NICOLLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.