Individual provider Active NPI

Yvelisse Gonzalez Segui

  • Diagnostic Radiology Physician
  • Hato Rey, PR
National Provider Identifier
1215911771
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7107 Issued in PR
Practice address
Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918
Phone
(787) 766-1575
Fax
(787) 766-1574
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7107 PR Primary

Addresses

Primary practice location

Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918

Mailing address

Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918
Phone (787) 766-1575

Other identifiers 1

IdentifierTypeStateIssuer
98703GOOtherPRTRIPLE S

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
I20060223000065 PR Practitioner - Diagnostic Radiology 6709892177 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians
Radiologia del Turabo, C.S.P.Group PAC ID 7810134699, 11 clinicians
Escorial MRI and CT Imaging Center, PSCGroup PAC ID 9830377878, 2 clinicians

Practice addresses (Care Compare)

50 Ave L Munoz Marin
Caguas, PR 00725-3975
Phone 7877461688240

50 Ave Luis Munoz
Suite 209
Caguas, PR 00725-3981
Phone 7877461688240

Escorial Building One
1400 Ave de Diego Suite 220 PMB 336
Carolina, PR 00987-4703

Hostos
514B Urb Baldrich
San Juan, PR 00918-3231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince Apr 12, 2022 Accepting new patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince May 1, 2013 Accepting new patients
Instituto Sonoradiologico Hostos Diagnostic Radiology CurrentSince May 2, 2011 Accepting new patients
Escorial MRI & CT Imaging Center, PSC Diagnostic Radiology CurrentSince Jan 15, 2020 Accepting new patients
Camuy X Ray & Ultrasound Center, PSC Diagnostic Radiology Past Accepting new patients
Instituto Sonoradiologico Hostos, Inc Diagnostic Radiology Past Accepting new patients

Locations

514 Ave Hostos
#B
San Juan, PR 00918
Phone (809) 766-1575

Organizations & group practices 6

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1215911771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BALDRICH",
            "address_2": "AVE HOSTOS 514 B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-766-1575",
            "fax_number": "787-766-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BALDRICH",
            "address_2": "AVE HOSTOS 514 B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-766-1575",
            "fax_number": "787-766-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SEGUI",
        "first_name": "YVELISSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "98703GO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.