Alejandra Thomas Vissepo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16327 Issued in PR

Practice address

1151 Calle 4 SE
Caparra Terrace
San Juan, PR 00921-1734

Phone

(787) 243-2984

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

Specialty

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Vision Medical Diagnostics LLCGroup PAC ID 5496990582, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• New Vision Medical Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1659503795
  Medicare reassignment Care Compare group NPD
• Apd Medical Group

  • General Practice Physician
  • Arecibo, PR
  • NPI 1649398116
  NPD (past) Authorized official
• New Vision Medical Diagnostic LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1891043337

  General Practice

  NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1215901442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 CALLE 4 SE",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211734",
            "telephone_number": "787-243-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 CALLE 4 SE",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211734",
            "telephone_number": "787-243-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS VISSEPO",
        "first_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy & Family Counseling Corp
• Therapy Solutions LLC
• Jurgen Anthony Thias, MD
• Think Therapy Group LLC
• Edwin Emilio Thomas Santos, MD
• Tienda Apnea del Sueno
• Tilia,Inc.
• Diany C Tirado Colon
• Sammy Tirado Lopez Jr., M.S.
• Anais Marie Tirado Perez, PHARMD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.

Verify at the official NPI Registry.