Individual provider Active NPI

Myriam Zahydee Allende-Vigo, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Humacao, PR
National Provider Identifier
1073517355
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4962 Issued in PR
Practice address
18 J. Franceschi St.
Urb. Pereyo
Humacao, PR 00791-3948
Phone
(787) 852-5313
Fax
(787) 765-9183
NPI assigned
Jun 2, 2005
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4962 PR Primary

Addresses

Primary practice location

18 J. Franceschi St.
Urb. Pereyo
Humacao, PR 00791-3948

Mailing address

PO Box 364246
San Juan, PR 00936-4246
Phone (787) 852-5313

Other names 1

  • Dr. Myriam Zaydee Allende-Vigo Other name

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
I20081024000061 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 2961560636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Calle Jorge Franceshi
Humacao, PR 00791-3915
Phone (787) 852-5313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 1984 Accepting new patients
Eastern Puerto Rico Diabetes Care Center Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Myriam Z Allende Vigo PSC CurrentSince Jul 23, 2017 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Locations

18 Calle Jorge Franceshi
Humacao, PR 00791
Phone (787) 628-2151

Hos Universitario De Adult
San Juan, PR 00935

Organizations & group practices 5

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1073517355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364246",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364246",
            "telephone_number": "787-852-5313",
            "fax_number": "787-765-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 J. FRANCESCHI ST.",
            "address_2": "URB. PEREYO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913948",
            "telephone_number": "787-852-5313",
            "fax_number": "787-765-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDE-VIGO",
        "first_name": "MYRIAM",
        "middle_name": "ZAHYDEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "4962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRIAM",
            "last_name": "ALLENDE-VIGO",
            "middle_name": "ZAYDEE",
            "prefix": "DR.",
            "credential": "MD MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.