Active NPI
Emerito Ventura Sr., MD
- General Practice Physician
- Toa Alta, PR
National Provider Identifier
1366491391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5109
- Practice address
- G21 Calle 10
Urb Villa Matilde
Toa Alta, PR 00953-6902 - Phone
- (787) 870-7070
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- General Practice Physician
- Toa Alta, PR
- NPI 1205239589
General Practice, PR
-
- Radiology Clinic/Center
- Toa Alta, PR
- NPI 1386940682
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060921000055 | PR | Practitioner - General Practice | 2567467822 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5109 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Clinic of Caribbean, Inc | General Practice | Current | Accepting new patients |
| Centro Imagenes Radiologia Toa Alta | Current | Accepting new patients |
Locations
G21 Calle 10
Toa Alta, PR 00953
Phone (787) 870-7070
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5109 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
G21 Calle 10
Urb Villa Matilde
Toa Alta, PR 00953-6902
Mailing address
420 Calle Verbena
Ciudad Jardin III
Toa Alta, PR 00953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2020.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1366491391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CALLE VERBENA",
"address_2": "CIUDAD JARDIN III",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G21 CALLE 10",
"address_2": "URB VILLA MATILDE",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009536902",
"telephone_number": "787-870-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "EMERITO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.