Individual provider Active NPI

Gerardo Jose Roberto Allende, M.D.

  • General Practice Physician
  • Rio Grande, PR
National Provider Identifier
1265572275
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11208 Issued in PR
Practice address
Ave. Garcia de la Noceda a-3 Villas de Rio Grande
Rio Grande, PR 00745-0878
Phone
(787) 636-6656
NPI assigned
Feb 7, 2007
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 11208 PR Primary

Addresses

Primary practice location

Ave. Garcia de la Noceda a-3 Villas de Rio Grande
Rio Grande, PR 00745-0878

Mailing address

PO Box 878
Rio Grande, PR 00745-0878
Phone (787) 636-6656

Other names 1

  • Dr. Gerardo J Allende Santos Former 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
I20120409000327 PR Practitioner - General Practice 4688835218 Practice locations: Rio Grande, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1265572275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450878",
            "telephone_number": "787-636-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. GARCIA DE LA NOCEDA A-3 VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450878",
            "telephone_number": "787-636-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDE",
        "first_name": "GERARDO JOSE",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARDO",
            "last_name": "ALLENDE SANTOS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Grande, PR

Sources for this page

Verify at the official NPI Registry.