Individual provider Active NPI

Sylvia Monserrate Nunez Fidalgo

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1366487597
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14729 Issued in PR
Practice address
900 Calle Cerra
Esq Calle Hoare Pda 15
San Juan, PR 00907-5104
Phone
(787) 977-0520
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 14729 PR Primary

Addresses

Primary practice location

900 Calle Cerra
Esq Calle Hoare Pda 15
San Juan, PR 00907-5104

Mailing address

Urb. Valparaiso Calle 3 J-6
Toa Baja, PR 00940-4040
Phone (787) 315-2879

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
I20060116000001 PR Practitioner - General Practice 2769406990 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician H.M.O. Inc. CurrentSince Dec 18, 2016 Accepting new patients

Locations

107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1366487597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VALPARAISO CALLE 3 J-6",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009404040",
            "telephone_number": "787-315-2879",
            "fax_number": "787-261-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CALLE CERRA",
            "address_2": "ESQ CALLE HOARE PDA 15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009075104",
            "telephone_number": "787-977-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ FIDALGO",
        "first_name": "SYLVIA",
        "middle_name": "MONSERRATE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.