Individual provider Active NPI

Enrique Segura Nieves, M.D.

  • Obstetrics Physician
  • Bayamon, PR
National Provider Identifier
1265406128
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
5652 Issued in PR
Practice address
100 Paseo San Pablo
Edif Dr. Arturo Cadilla Suite 408
Bayamon, PR 00961-7019
Phone
(787) 740-8116
Fax
(787) 785-7421
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 5652 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Edif Dr. Arturo Cadilla Suite 408
Bayamon, PR 00961-7019

Mailing address

PO Box 6688
Santa Rosa Unit
Bayamon, PR 00960-5688
Phone (787) 740-8116

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
I20100325000342 PR Practitioner - Obstetrics/Gynecology 5193851566 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Paseo San Pablo
Suite 408
Bayamon, PR 00961-7028
Phone (787) 740-8116

Paseo San Pablo
100 Suite 408
Bayamon, PR 00961-7028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5652PRMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Nov 23, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Nov 23, 2013 Accepting new patients
Am Acquisition I, LLC Past Accepting new patients
Jose Bermudez Ginecologo CSP PastSince Jun 12, 2018 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 4

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1265406128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6688",
            "address_2": "SANTA ROSA UNIT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605688",
            "telephone_number": "787-740-8116",
            "fax_number": "787-785-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "EDIF DR. ARTURO CADILLA SUITE 408",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-740-8116",
            "fax_number": "787-785-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA NIEVES",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.