Individual provider Active NPI

Gishlaine Alfonso, MD

  • Neurology Physician
  • Hato Rey, PR
National Provider Identifier
1053374975
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9986 Issued in 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
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9986 PR Primary

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

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
I20060706000124 PR Practitioner - Neurology 0941212146 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
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 MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9986PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Neurology CurrentSince Oct 14, 2013 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 14, 2013 Accepting new patients
Neuro Id Group, PSC Neurology Past Accepting new patients

Organizations & group practices 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1053374975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLINICA LAS AMERICAS SUITE 402",
            "address_2": "ROOSEVELT AVE. #400",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-767-2248",
            "fax_number": "787-766-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA LAS AMERICAS SUITE 402",
            "address_2": "ROOSEVELT AVE. #400",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-767-2248",
            "fax_number": "787-766-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "GISHLAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "9986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.