Individual provider Active NPI

Griselle Gerena Ramirez, MD

  • General Practice Physician
  • San Lorenzo, PR
National Provider Identifier
1245280270
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15198 Issued in PR
Practice address
Calle Luis Munoz Rivera 159
San Lorenzo, PR 00754
Phone
(787) 736-9660
Fax
(787) 937-7883
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15198 PR Primary

Addresses

Primary practice location

Calle Luis Munoz Rivera 159
San Lorenzo, PR 00754

Mailing address

Calle Luis Munoz Rivera # 159 B
Calle Luis Munoz Rivera # 159 B
San Lorenzo, PR 00754-0000
Phone (787) 736-9660

Other identifiers 1

IdentifierTypeStateIssuer
15.198MedicaidPR

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
I20051024000188 PR Practitioner - General Practice 1153347661 Practice locations: San Lorenzo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GGR Medical Services, Inc. PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1245280270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA # 159 B",
            "address_2": "CALLE LUIS MUNOZ RIVERA # 159 B",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540000",
            "telephone_number": "787-736-9660",
            "fax_number": "787-937-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA 159",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-9660",
            "fax_number": "787-937-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERENA RAMIREZ",
        "first_name": "GRISELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15.198",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.