Individual provider Active NPI

Richard Paul Nery, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1114101789
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13927 Issued in PR
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

Updated by the provider on Jul 31, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
13927PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Sep 29, 2014 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 11, 2019 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 11, 2019 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
US Health Dept of Health & Human Services CurrentSince Sep 29, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.