Individual provider Active NPI

Ariannette Yaniz Robledo Gomez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1053809061
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
23973 Issued in PR
Practice address
300 Ave Domenech
San Juan, PR 00918
Phone
(787) 765-7320
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 023973 PR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 23973 PR Primary

Addresses

Primary practice location

300 Ave Domenech
San Juan, PR 00918

Mailing address

100 Calle del Muelle Apt 1509
San Juan, PR 00901
Phone (787) 406-6164

Other practice location 1

3181 SW Sam Jackson Park Rd # L113
Portland, OR 97239-3011
Phone (787) 406-6164

Other practice location 2

1200 N State St
Los Angeles, CA 90089-1001
Phone (323) 409-5126

Other identifiers 1

IdentifierTypeStateIssuer
524382280OtherPRUNITED STATES PASSPORT

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
I20241122000029 PR Practitioner - Pathology 5698125961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 723-2322

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

302 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

304 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 765-7320

PO Box
Suite 366527
San Juan, PR 00936-6527

Hospital & facility affiliations

  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023973PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince Jan 5, 2025 Accepting new patients
Hato Rey Pathology Associates,PSC PastSince Sep 1, 2024 Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1053809061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE APT 1509",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-406-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd # L113",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "787-406-6164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891001",
            "country_code": "US",
            "telephone_number": "323-409-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLEDO GOMEZ",
        "first_name": "ARIANNETTE",
        "middle_name": "YANIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-02-25",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "023973",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "23973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES PASSPORT",
            "identifier": "524382280",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.