Individual provider Active NPI

Yanira Medina Claudio, MD

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1205949153
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15115 Issued in PR
Practice address
HF16 Calle Lizzie Graham
7Ma Seccio Levittown
Toa Baja, PR 00949-3634
Phone
(787) 795-2935
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 15115 PR Primary

Addresses

Primary practice location

HF16 Calle Lizzie Graham
7Ma Seccio Levittown
Toa Baja, PR 00949-3634

Mailing address

Ac1 Calle Rio Espiritu Santo
Rio Hondo
Bayamon, PR 00961-3229
Phone (787) 795-2935

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
I20040223000014 PR Practitioner - General Practice 4688569270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
CSM Servicios de Cuidado Inc 5 clinicians

Practice addresses (Care Compare)

7 N BLQ 32 Calle
17 Urb Miraflores
Bayamon, PR 00957
Phone (787) 797-5674

HF-16 Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Group Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1205949153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AC1 CALLE RIO ESPIRITU SANTO",
            "address_2": "RIO HONDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613229",
            "telephone_number": "787-795-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "7MA SECCIO LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CLAUDIO",
        "first_name": "YANIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.