Individual provider Active NPI

Lidgia R Vives Castro, M.D.

  • Neurology Physician
  • Carolina, PR
National Provider Identifier
1306922976
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
11425 Issued in PR
Practice address
Antiguo Edificio Jesus T Pinero 80100 Esquina Molinillo
Carolina, PR 00986
Phone
(787) 626-3322
NPI assigned
Oct 27, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 15664 MS
Vascular Neurology Physician 2084V0102X 11425 PR
Neurology Physician 2084N0400X 11425 PR Primary

Addresses

Primary practice location

Antiguo Edificio Jesus T Pinero 80100 Esquina Molinillo
Carolina, PR 00986

Mailing address

Urb. J Caparra
Calle 1 B21
Bayamon, PR 00959
Phone (939) 260-6861

Other practice location 1

1213 Broad Ave Ste 3
Gulfport, MS 39501-2475
Phone (228) 867-9797

Other names 1

  • Dr. Lidgia R Vives Professional 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
I20220801003336 PR Practitioner - Neurology 4486545316 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Reparto Metropolitano 1122
5 Suite 2
San Juan, PR 00921
Phone (939) 312-4696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Jun 12, 2022 Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Jun 12, 2022 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1306922976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. J CAPARRA",
            "address_2": "CALLE 1 B21",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "939-260-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTIGUO EDIFICIO JESUS T PINERO 80100 ESQUINA MOLINILLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-626-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Broad Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012475",
            "country_code": "US",
            "telephone_number": "228-867-9797",
            "fax_number": "228-867-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVES CASTRO",
        "first_name": "LIDGIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "15664",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PR",
            "license": "11425",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "11425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDGIA",
            "last_name": "VIVES",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.