Individual provider Active NPI

Vilma Sastre, RN

  • Licensed Practical Nurse
  • San Juan, PR
National Provider Identifier
1023257912
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4622 Issued in PR
Practice address
Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916
Phone
(787) 268-4171
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4622 PR Primary

Addresses

Primary practice location

Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916

Mailing address

Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916
Phone (787) 268-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4622PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1023257912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. BORINQUEN BO. OBRERO",
            "address_2": "APARTADO 14457",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00916",
            "telephone_number": "787-268-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. BORINQUEN BO. OBRERO",
            "address_2": "APARTADO 14457",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00916",
            "telephone_number": "787-268-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRE",
        "first_name": "VILMA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "4622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.