Individual provider Active NPI

Natalie Jeanette Fuster Solivan, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1184194417
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21158 Issued in PR
Practice address
Hospital Menonita Guayama, Ave Pedro Albizu Campos
Suite 203
Guayama, PR 00784
Phone
(787) 864-4300
NPI assigned
Nov 29, 2018
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 21158 PR Primary

Addresses

Primary practice location

Hospital Menonita Guayama, Ave Pedro Albizu Campos
Suite 203
Guayama, PR 00784

Mailing address

PO Box 2998
Guayama, PR 00785-2998
Phone (787) 238-4529

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
I20190823002367 PR Practitioner - General Practice 1951639228 Reassigns benefits to 1 organization
Practice locations: Guayama, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21158PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sur-Med Medical Corp CurrentSince Apr 13, 2019 Accepting new patients
Sur-Med Medical Corp. CurrentSince Apr 13, 2019 Accepting new patients
Southeast Anesthesia Services, PSC Past Accepting new patients

Locations

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Organizations & group practices 3

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1184194417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2998",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852998",
            "telephone_number": "787-238-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONITA GUAYAMA, AVE PEDRO ALBIZU CAMPOS",
            "address_2": "SUITE 203",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSTER SOLIVAN",
        "first_name": "NATALIE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.