Active NPI
Nelly Nazario-Torres, MD
- General Practice Physician
- Ponce, PR
National Provider Identifier
1073502811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15028
- Practice address
- Calle Nilo 2427 Rio Canas
Ponce, PR 00728-1716 - Phone
- (787) 432-4402
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15028 | PR | Primary |
Addresses
Primary practice location
Calle Nilo 2427 Rio Canas
Ponce, PR 00728-1716
Mailing address
Calle Nilo 2427 Rio Canas
Ponce, PR 00728-1716
Phone (787) 432-4402
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22520NA | Other | PR | TRIPLES |
| 03539 | Other | PR | AMERICAN HEALTH |
| 100556 | Other | PR | CRUZ AZUL |
| PG4810 | Other | PR | PAN AMERICAN LIFE |
| 11915028 | Other | PR | GLOBAL HEALTH |
| 7280003 | Other | PR | HUMANO REFORMA |
| 7280003 | Other | PR | HUMANA HEALTH CHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15028 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1073502811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE NILO 2427 RIO CANAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007281716",
"telephone_number": "787-432-4402",
"fax_number": "787-432-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE NILO 2427 RIO CANAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007281716",
"telephone_number": "787-432-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIO-TORRES",
"first_name": "NELLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLES",
"identifier": "22520NA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "03539",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "100556",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAN AMERICAN LIFE",
"identifier": "PG4810",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH",
"identifier": "11915028",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANO REFORMA",
"identifier": "7280003",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH CHOICE",
"identifier": "7280003",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.