Active NPI
Ingrid Maritza Ancalle, M.D.
- Neonatal-Perinatal Medicine Physician
- San Juan, PR
National Provider Identifier
1043357320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 15737
- Practice address
- Ponce de Leon Avenue Stop 37 and 1/2
Hato Rey
San Juan, PR 00919 - Phone
- (787) 758-2000
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15737 | PR | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 15737 | PR | Primary |
Addresses
Primary practice location
Ponce de Leon Avenue Stop 37 and 1/2
Hato Rey
San Juan, PR 00919
Mailing address
Vistas del Morro #113 Panorama Village
Bayamon, PR 00959
Phone (787) 730-2735
Other practice location 1
Vistas del Morro #113 Panorama Village
Bayamon, PR 00959
Phone (787) 730-2735
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15737 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayamon Medical Center Corp | Past | Accepting new patients | |
| Dorado Health Inc | 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.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1912930488
-
- General Acute Care Hospital
- Manati, PR
- NPI 1376605170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1043357320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VISTAS DEL MORRO #113 PANORAMA VILLAGE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-730-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PONCE DE LEON AVENUE STOP 37 AND 1/2",
"address_2": "HATO REY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [
{
"address_1": "Vistas del Morro #113 Panorama Village",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00959",
"country_code": "US",
"telephone_number": "787-730-2735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANCALLE",
"first_name": "INGRID",
"middle_name": "MARITZA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2023-08-22",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "15737",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PR",
"license": "15737",
"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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.