Erica Liliana Bossana, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16605 Issued in PR

Practice address

Carr #3 KM 12.3
65 Infanteria Ave
Carolina, PR 00919-0990

Phone

(787) 603-2411

Fax

(787) 276-0065

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306041702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 190090",
            "address_2": "HATO REY STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190990",
            "telephone_number": "787-603-2411",
            "fax_number": "787-276-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #3 KM 12.3",
            "address_2": "65 INFANTERIA AVE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009190990",
            "telephone_number": "787-603-2411",
            "fax_number": "787-276-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSANA",
        "first_name": "ERICA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA MD",
            "identifier": "16605",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Carolina, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.