Omar Segarra-Alonso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17097 Issued in PR

Practice address

105 Villa Este
Dorado, PR 00646-2335

Phone

(787) 692-6565

NPI assigned

Jun 13, 2007

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

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1184828139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VILLA ESTE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462335",
            "telephone_number": "787-692-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLA ESTE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462335",
            "telephone_number": "787-692-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA-ALONSO",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17097",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaleyka Nicole Santos
• Sara V Sanz Lebron, MD
• Dalgis Sardina Ortiz
• Julia Schwartz, MD
• Lourdes E Seda, PT
• Jamie Krystal Serrano Kuilan
• Yazmin Serrano
• Servicios Medicos del Plata 4352
• SHC Owner LLC
• SHC Owner LLC

• Internal Medicine Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.