Individual provider Active NPI

David R Bermudez Nunez, MD

  • Cardiovascular Disease Physician
  • San German, PR
National Provider Identifier
1215970405
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13096 Issued in PR
Practice address
100 Calle Hernan Alvarez
Edificio Plaza Metropolitana, Oficina 104
San German, PR 00683-4173
Phone
(787) 892-4965
Fax
(787) 264-2340
NPI assigned
Jun 14, 2006
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13096 PR Primary

Addresses

Primary practice location

100 Calle Hernan Alvarez
Edificio Plaza Metropolitana, Oficina 104
San German, PR 00683-4173

Mailing address

PO Box 3736
Mayaguez, PR 00681-3736
Phone (787) 892-4965

Other names 1

  • Dr. David R Bermudez Other name

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
I20050218000068 PR Practitioner - Cardiovascular Disease (Cardiology) 7719939628 Practice locations: San German, PR; Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Calle Hernan Alvarez
San German, PR 00683-4173
Phone (787) 892-4965

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital de la Concepcion Inc Past Accepting new patients
Aguadilla Heart Center Inc Cardiovascular Disease 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1215970405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3736",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813736",
            "telephone_number": "787-892-4965",
            "fax_number": "787-264-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE HERNAN ALVAREZ",
            "address_2": "EDIFICIO PLAZA METROPOLITANA, OFICINA 104",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834173",
            "telephone_number": "787-892-4965",
            "fax_number": "787-264-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ NUNEZ",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "BERMUDEZ",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DAVID R BERMUDEZ, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.