Individual provider Active NPI

Zahira Danelys Rivera Nazario

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1083341085
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22893 Issued in PR
Practice address
Hospital Pavia Yauco
Carr128 KM 1.0
Yauco, PR 00698
Phone
(787) 856-1000
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 22893 PR Primary

Addresses

Primary practice location

Hospital Pavia Yauco
Carr128 KM 1.0
Yauco, PR 00698

Mailing address

PO Box 1104
Sabana Grande, PR 00637-1104
Phone (939) 313-1556

Other practice location 1

Hospital Metropolitano San German
#8 calle Luz Celenia Tirado
San German, PR 00683
Phone (787) 892-5300

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
I20240109004848 PR Practitioner - General Practice 7911358445 Practice locations: Yauco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22893PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rad Nucs LLC Past Accepting new patients
Yauco Healthcare Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1083341085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371104",
            "telephone_number": "939-313-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PAVIA YAUCO",
            "address_2": "CARR128 KM 1.0",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Metropolitano San German",
            "address_2": "#8 calle Luz Celenia Tirado",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "00683",
            "country_code": "US",
            "telephone_number": "787-892-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA NAZARIO",
        "first_name": "ZAHIRA",
        "middle_name": "DANELYS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.