Individual provider Active NPI

Alberto J Navas, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1154945020
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22513 Issued in PR
Practice address
200 Calle Cupey GDNS Ste 11W
San Juan, PR 00926-7366
Phone
(787) 760-4425
NPI assigned
Jun 5, 2020
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 22513 PR Primary

Addresses

Primary practice location

200 Calle Cupey GDNS Ste 11W
San Juan, PR 00926-7366

Mailing address

E13 Calle Parkside 1 Apt 8a
Guaynabo, PR 00968-3324
Phone (787) 415-6678

Other practice location 1

1026 Ave. Franklin Delano Roosevelt
San Juan, PR 00920
Phone (787) 781-8316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220524002365 OK Order and Referring Only - General PracticePractitioner - General Practice 4486031838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22513PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Puerto Nuevo Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1154945020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E13 CALLE PARKSIDE 1 APT 8A",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683324",
            "telephone_number": "787-415-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE CUPEY GDNS STE 11W",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267366",
            "telephone_number": "787-760-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Ave. Franklin Delano Roosevelt",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00920",
            "country_code": "US",
            "telephone_number": "787-781-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVAS",
        "first_name": "ALBERTO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.