Active NPI
Alexis Oquendo
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1205453842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23493
- Practice address
- Carr. 167 KM 7.1 Bo. Pajaros
Bayamon, PR 00956 - Phone
- (787) 464-6854
- NPI assigned
- Jun 30, 2020
- Last updated
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23493 | PR | Primary |
Addresses
Primary practice location
Carr. 167 KM 7.1 Bo. Pajaros
Bayamon, PR 00956
Mailing address
RR 4 Box 26343
Toa Alta, PR 00953-9416
Phone (787) 464-6854
Other practice location 1
13260 N 13th St
Phoenix, AZ 85022-4936
Phone (787) 464-6854
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- San Juan Bautista School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Carr 167 KM
8 Bo Pajaros Puertorriquenos
Bayamon, PR 00961
Phone (787) 780-3435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23493 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
-
- Radiology Clinic/Center
- Bayamon, PR
- NPI 1306327341
-
dba Centro Salud Integral en Dorado
- Clinic/Center
- Dorado, PR
- NPI 1760371868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1205453842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 26343",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009539416",
"telephone_number": "787-464-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 167 KM 7.1 BO. PAJAROS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-464-6854"
}
],
"practiceLocations": [
{
"address_1": "13260 N 13th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850224936",
"country_code": "US",
"telephone_number": "787-464-6854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OQUENDO",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2023-10-12",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.