Jaime Enrique Nadal, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22635 Issued in PR

Practice address

1399 Ave Ana G Mendez
San Juan, PR 00926-2602

Phone

(787) 405-5094

Fax

(866) 310-1785

NPI assigned

Jan 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Sistema Universitario Ana G Mendez

  • Dental Clinic/Center
  • Gurabo, PR
  • NPI 1861367088
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1154082048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21345",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281345",
            "telephone_number": "787-405-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 AVE ANA G MENDEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262602",
            "telephone_number": "787-405-5094",
            "fax_number": "866-310-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 3030",
            "address_purpose": "LOCATION",
            "city": "Gurabo",
            "state": "PR",
            "postal_code": "007783030",
            "country_code": "US",
            "telephone_number": "787-743-7979",
            "fax_number": "866-310-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 2010",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009842010",
            "country_code": "US",
            "telephone_number": "787-743-7979",
            "fax_number": "866-310-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 S Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221747",
            "country_code": "US",
            "telephone_number": "787-743-7979",
            "fax_number": "866-310-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAL",
        "first_name": "JAIME",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1478",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy Alicea MD,PSC
• Rebecca Napoleon, M.S., CCC-SLP

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 Jan 10, 2025; 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.