Individual provider Active NPI

Hector R Bird, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1235146606
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
101402 Issued in NY
Practice address
1300 Calle Luchetti
Horizon House (Apt. 4)
San Juan, PR 00907-1963
Phone
(787) 241-5050
NPI assigned
Aug 1, 2006
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 101402 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 101402 NY

Addresses

Primary practice location

1300 Calle Luchetti
Horizon House (Apt. 4)
San Juan, PR 00907-1963

Mailing address

1300 Calle Luchetti
Horizon House (Apt. 4)
San Juan, PR 00907-1963
Phone (787) 241-5050

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
101402NYMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1235146606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CALLE LUCHETTI",
            "address_2": "HORIZON HOUSE (APT. 4)",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071963",
            "telephone_number": "787-241-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CALLE LUCHETTI",
            "address_2": "HORIZON HOUSE (APT. 4)",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071963",
            "telephone_number": "787-241-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "HECTOR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "101402",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "101402",
            "primary": false
        }
    ],
    "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 Jun 1, 2012; 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.