Individual provider Active NPI

Edna M Mora Pinero, MD

  • Surgical Oncology Physician
  • San Juan, PR
National Provider Identifier
1336218700
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
9324 Issued in PR
Practice address
261 Calle Duke
San Juan, PR 00927-4120
Phone
(787) 766-1240
Fax
(787) 758-8304
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 9324 PR Primary

Addresses

Primary practice location

261 Calle Duke
San Juan, PR 00927-4120

Mailing address

261 Calle Duke
San Juan, PR 00927-4120
Phone (787) 274-1908

Other identifiers 1

IdentifierTypeStateIssuer
9324OtherPRSTATE LICENSE

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
I20090504000231 PR Practitioner - Surgical OncologyPractitioner - General Surgery 6901954809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935

Hospital Oncologico
Centro Medico
San Juan, PR 00935-0001
Phone 78775825251522

Hospital & facility affiliations

  • Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Surgical Oncology CurrentSince Jan 29, 2008 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jan 29, 2008 Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1336218700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CALLE DUKE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274120",
            "telephone_number": "787-274-1908",
            "fax_number": "787-274-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CALLE DUKE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274120",
            "telephone_number": "787-766-1240",
            "fax_number": "787-758-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA PINERO",
        "first_name": "EDNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "9324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9324",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.