Individual provider Active NPI

Mario R. Nevarez Alonso, M.D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1235100777
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10845 Issued in PR
Practice address
252 Calle San Jorge
San Jorge Medical Office BLDG. Suite 406
San Juan, PR 00912-3310
Phone
(787) 726-0210
NPI assigned
Feb 1, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10845 PR Primary

Addresses

Primary practice location

252 Calle San Jorge
San Jorge Medical Office BLDG. Suite 406
San Juan, PR 00912-3310

Mailing address

325 Blvd. Media Luna
Cond. Brisas de Parque Escorial Apt. 2904
Carolina, PR 00987-5150
Phone (787) 281-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10845PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Santurce, Inc. Past Accepting new patients
Grupo Intensivo Pediatrico de San Juan Past Accepting new patients
San Francisco Health System Inc Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1235100777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BLVD. MEDIA LUNA",
            "address_2": "COND. BRISAS DE PARQUE ESCORIAL APT. 2904",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875150",
            "telephone_number": "787-281-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SAN JORGE MEDICAL OFFICE BLDG. SUITE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123310",
            "telephone_number": "787-726-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ ALONSO",
        "first_name": "MARIO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.