Individual provider Active NPI

Angelica Maria Resto, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1184912776
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18255 Issued in PR
Practice address
200 Ave Los Chalets Apt 78
Chalets de Cupey
San Juan, PR 00926-4464
Phone
(787) 502-2897
NPI assigned
Jul 15, 2011
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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 18255 PR Primary

Addresses

Primary practice location

200 Ave Los Chalets Apt 78
Chalets de Cupey
San Juan, PR 00926-4464

Mailing address

200 Ave Los Chalets Apt 78
Chalets de Cupey
San Juan, PR 00926-4464
Phone (787) 502-2897

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
I20141007000442 PR Practitioner - General Practice 6002036464 Practice locations: Bayamon, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1184912776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE LOS CHALETS APT 78",
            "address_2": "CHALETS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264464",
            "telephone_number": "787-502-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE LOS CHALETS APT 78",
            "address_2": "CHALETS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264464",
            "telephone_number": "787-502-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.