Jose Antonio Pietri, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14885 Issued in PR

Practice address

102 Ramon Flores St.
Aibonito, PR 00705-3716

Phone

(787) 991-1560

Fax

(787) 991-1560

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General PracticeAlso: Hospice/Palliative Care

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio la Monserrate Hospice, Sabana Grande, PR, CCN 401573

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospicio la Monserrate

  • Community Based Hospice Care Agency
  • Sabana Grande, PR
  • NPI 1225435324

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1285637629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051515",
            "telephone_number": "787-991-1560",
            "fax_number": "787-991-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RAMON FLORES ST.",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053716",
            "telephone_number": "787-991-1560",
            "fax_number": "787-991-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRI",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "466",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzette D Perez Pabon, MSW
• Jose Julio Perez-Chacon, MD
• Pedro Perez
• Pharmacare, Inc
• Pharmacy VCG, LLC
• Podiatry and Diabetic Care Center Inc.
• Victor Manuel Polanco Sanchez, M.D.
• Victor Eusebio Polanco Soto Jr., MD
• Monique Poventud Arzola
• Precision Urology LLC

• General Practice Physician in Aibonito, PR
• Providers in Aibonito, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.