Individual provider Active NPI

Alcides Gil Escudero, MD

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1164567954
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3889 Issued in PR
Practice address
68 Santa Cruz Avenue
Torre San Pablo Suite 701
Bayamon, PR 00959
Phone
(787) 798-4527
Fax
(787) 790-4580
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3889 PR Primary

Addresses

Primary practice location

68 Santa Cruz Avenue
Torre San Pablo Suite 701
Bayamon, PR 00959

Mailing address

28 Acerola St Milaville
San Juan, PR 00926-5105
Phone (787) 789-7823

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110301001053 PR Practitioner - NephrologyPractitioner - Internal Medicine 3274714894 Practice locations: Bayamon, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

64 Ave Santa Cruz
Bayamon, PR 00959
Phone (787) 798-4527

Hospital & facility affiliations

  • FMC Bayamon Dialysis facility, Bayamon, PR, CCN 402504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3889PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1164567954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ACEROLA ST MILAVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265105",
            "telephone_number": "787-789-7823",
            "fax_number": "787-708-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SANTA CRUZ AVENUE",
            "address_2": "TORRE SAN PABLO SUITE 701",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-4527",
            "fax_number": "787-790-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL ESCUDERO",
        "first_name": "ALCIDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "3889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.