Individual provider Active NPI

Tanya Judith Ocasio Franco, MD

  • General Practice Physician
  • Gurabo, PR
National Provider Identifier
1063166155
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23112 Issued in PR
Practice address
Urb Sabanera del Rio 464
Camino de Los Tamarindos
Gurabo, PR 00778-0077
Phone
(787) 717-1126
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23112 PR Primary

Addresses

Primary practice location

Urb Sabanera del Rio 464
Camino de Los Tamarindos
Gurabo, PR 00778-0077

Mailing address

Urb Sabanera del Rio 464
Camino de Los Tamarindos
Gurabo, PR 00778
Phone (787) 717-1126

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
I20240506001323 PR Practitioner - General Practice 4082054283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediko Medicina Primaria CorpGroup PAC ID 5991172843, 5 clinicians

Practice addresses (Care Compare)

Del Rio Shopping Ctr
1 Urb Valle Tolima
Caguas, PR 00726-8729
Phone (787) 653-5550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mediko Medicina Primaria Corp CurrentSince Mar 10, 2024 Accepting new patients

Organizations & group practices 1

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1063166155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SABANERA DEL RIO 464",
            "address_2": "CAMINO DE LOS TAMARINDOS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-717-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SABANERA DEL RIO 464",
            "address_2": "CAMINO DE LOS TAMARINDOS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780077",
            "telephone_number": "787-717-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO FRANCO",
        "first_name": "TANYA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.