Active NPI
Richard Paul Nery, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1114101789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13927
- Practice address
- Calle Santa Cruz Edif 77 Urb. Santa Cruz
Bayamon, PR 00959 - Phone
- (787) 780-6267
- NPI assigned
- Dec 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 13927 | PR | Primary |
Addresses
Primary practice location
Calle Santa Cruz Edif 77 Urb. Santa Cruz
Bayamon, PR 00959
Mailing address
404 Ave Ponce de Leon
Apt 1202
San Juan, PR 00901-2236
Phone (787) 226-2206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141204000315 | TX | Practitioner - General Practice | 5193047009 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13927 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Clinica Las Americas Guaynabo, Inc | Current | Accepting new patients | |
| Clinica Las Americas Guaynabo, Inc | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092
Interoperability endpoints
- richard.nerygomez@4048.securemail.prognocis.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Bayamon, PR
- NPI 1326096058
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- San Juan, PR
- NPI 1366053845
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Critical Access Hospital
- Crow Agency, MT
- NPI 1548393358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1114101789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 AVE PONCE DE LEON",
"address_2": "APT 1202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009012236",
"telephone_number": "787-226-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SANTA CRUZ EDIF 77 URB. SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-780-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERY",
"first_name": "RICHARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.