Individual provider Active NPI

Ivette Franceschi Nazario, M.D.

  • Psychiatry Physician
  • Fajardo, PR
National Provider Identifier
1033152608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10824 Issued in PR
Practice address
410 Ave General Valero
Torre Medica del Este - Suite 405
Fajardo, PR 00738-3949
Phone
(787) 860-0768
Fax
(787) 801-0587
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10824 PR Primary

Addresses

Primary practice location

410 Ave General Valero
Torre Medica del Este - Suite 405
Fajardo, PR 00738-3949

Mailing address

D1 Calle la Milagrosa
Urb. Garca Ponce
Fajardo, PR 00738-3905
Phone (787) 863-7921

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
I20040430000763 PR Practitioner - Psychiatry 5496742363 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

410 Ave General Valero
Fajardo, PR 00738-3949
Phone (787) 860-0768

410 Ave General Valero
Suite 405
Fajardo, PR 00738

Ave General Valero
410 Suite 405 Torre Medica
Fajardo, PR 00738

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10824PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Past Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033152608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D1 CALLE LA MILAGROSA",
            "address_2": "URB. GARCA PONCE",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383905",
            "telephone_number": "787-863-7921",
            "fax_number": "787-860-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO",
            "address_2": "TORRE MEDICA DEL ESTE - SUITE 405",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-860-0768",
            "fax_number": "787-801-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCESCHI NAZARIO",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.