Nilsa M. Vizcarrondo, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

5640 Issued in PR

Practice address

Street 5
Rexmanor C# 12
Guayama, PR 00784

Phone

(787) 864-2168

Fax

(787) 866-2112

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialty

Obstetrics/Gynecology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: nacosta@2184.securemail.prognocis.com

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154450112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 5",
            "address_2": "REXMANOR C# 12",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2168",
            "fax_number": "787-866-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 5",
            "address_2": "REXMANOR C# 12",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2168",
            "fax_number": "787-866-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRONDO",
        "first_name": "NILSA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "5640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vinas
• Vision 2000 Guayama, PSC
• Vision2000
• Vita Care,LLC
• Vitalia Holistics Corp
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2072)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-2072)
• Walgreen Co (Walgreens #00031)
• Wellness MD Inc
• White Bigio Inc. (Laboratorio Clinico La Fuente)

• Gynecology Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.