Gishlaine Alfonso, MD
Individual provider Active NPI Neurology Physician · Hato Rey, PR
NPI 1053374975 · NPPES record last updated Jan 19, 2010
Key facts
- NPI
- 1053374975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 9986 (PR)
- Practice address
- Clinica Las Americas Suite 402
Roosevelt Ave. #400
Hato Rey, PR 00918 - Phone
- (787) 767-2248
- Fax
- (787) 766-3219
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Recinto de Ciencias Medicas
Practice addresses (Care Compare)
Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060706000124 | PR | Practitioner - Neurology | 0941212146 |
Reassigns benefits to 1 organization Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9986 | PR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Neurology | Current |
Accepting new patients |
| Recinto de Ciencias Medicas | Current |
Accepting new patients | |
| Neuro Id Group, PSC | Neurology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 9986 | PR | Yes |
Addresses
Primary practice location
Clinica Las Americas Suite 402
Roosevelt Ave. #400
Hato Rey, PR 00918
Mailing address
Clinica Las Americas Suite 402
Roosevelt Ave. #400
Hato Rey, PR 00918
Phone (787) 767-2248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82382 | Other | PR | TRIPLE SSS |
| 601597 | Other | PR | MMM |
Other providers in Hato Rey, PR
- Melvyn Miguel Acosta
- Advancer Local Development
- Nicole Agis-Ortiz
- Diana Agosto
- Aid System LLC
- Najema Ali
- All Medical Examiners
- Mariel Almonte-Rivera
- Genesis Almonte I
- Anibelle Altieri
All providers in Hato Rey, PR · Neurology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.