Gustavo Adolfo Infante Nerys, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23606 Issued in PR

Practice address

404 Ave General Valero
Fajardo, PR 00738-3998

Phone

(787) 863-0505

NPI assigned

Oct 27, 2023

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rijo Aristy Medical Services LLC

  • General Practice Physician
  • Fajardo, PR
  • NPI 1093513012
  NPD (past)

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1144092677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14542",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164542",
            "telephone_number": "787-216-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 AVE GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383998",
            "telephone_number": "787-863-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTE NERYS",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Leonel Iban-Cordero
• Igr Medical Services PSC
• Marie Frances Ilarraza-Lugo, MD
• In Style Vision
• Independent Medical Services
• Instituto Neuropsicoterapeutico Dr. del Valle Ortiz Inc
• Integrate Community Health System (Metro Pavia Clinic Fajardo)
• Intercambios Puerto Rico, Inc
• Carmen D Irizarry Ceballos, MD
• J.I.L. Pharmacy Care Inc. (Farmacia San Miguel)

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.