Individual provider Active NPI

Priscilla Mieses Llavat, MD

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1073580379
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12668 Issued in PR
Practice address
Ashford Medical Ctr
Suite 409
San Juan, PR 00907-1510
Phone
(787) 722-3955
NPI assigned
Mar 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 12668 PR Primary

Addresses

Primary practice location

Ashford Medical Ctr
Suite 409
San Juan, PR 00907-1510

Mailing address

Ashford Medical Ctr
Suite 409
San Juan, PR 00907-1510
Phone (787) 722-3955

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
I20101008000884 PR Practitioner - Physical Medicine and Rehabilitation 4385836394 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ashford Medical Ctr
29 Washington St Suite 409
San Juan, PR 00907-1521
Phone (787) 724-5577

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12668PRMDPhysical Medicine & Rehabilitation Physician

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1073580379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL CTR",
            "address_2": "SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-722-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL CTR",
            "address_2": "SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-722-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESES LLAVAT",
        "first_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.