Active NPI
Ditza Alejandro, ND
- Independent Medical Examiner Physician
- San Juan, PR
National Provider Identifier
1114693256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 000075
- Practice address
- 467 Ave Sagrado Corazon
San Juan, PR 00915-3300 - Phone
- (787) 363-0268
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 000075 | PR | Primary |
Addresses
Primary practice location
467 Ave Sagrado Corazon
San Juan, PR 00915-3300
Mailing address
507 Calle Rhin
Juncos, PR 00777-9414
Phone (939) 253-6375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000075 | PR | MD | Independent Medical Examiner Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1114693256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 CALLE RHIN",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007779414",
"telephone_number": "939-253-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 AVE SAGRADO CORAZON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009153300",
"telephone_number": "787-363-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEJANDRO",
"first_name": "DITZA",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "PR",
"license": "000075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.