Individual provider Active NPI

Yadira G Mateo, M.D.

  • Diagnostic Ultrasound Physician
  • Ponce, PR
National Provider Identifier
1083611214
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
11774 Issued in PR
Practice address
172 Calle Bianca
Urb Terra Senorial
Ponce, PR 00731-9564
Phone
(787) 365-0498
NPI assigned
Jul 1, 2005
Last updated
Feb 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 11774 PR Primary

Addresses

Primary practice location

172 Calle Bianca
Urb Terra Senorial
Ponce, PR 00731-9564

Mailing address

172 Calle Bianca
Urb Terra Senorial
Ponce, PR 00731-9564
Phone (787) 365-0498

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
I20050919000062 PR Practitioner - Diagnostic Radiology 4183514730 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11774PRMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey CurrentSince Jan 19, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jan 19, 2020 Accepting new patients
Hospital Dr. Susoni. Inc. Past Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc Past Accepting new patients
Centro Imagenes de Manati PSC Past Accepting new patients
Centro Radiologico Rolon Inc PastSince Nov 18, 2002 Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc. Past Accepting new patients
Servicios Radiologicos Asociados Jorge Perez Brais PastSince Jan 1, 2002 Accepting new patients
Centro Imagenes Manati Yvf PSC PastSince Apr 2, 2013 Accepting new patients

Organizations & group practices 9

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1083611214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CALLE BIANCA",
            "address_2": "URB TERRA SENORIAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007319564",
            "telephone_number": "787-365-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CALLE BIANCA",
            "address_2": "URB TERRA SENORIAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007319564",
            "telephone_number": "787-365-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "YADIRA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "11774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.