Active NPI
Waleska Nunez, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1396715322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16203
- Practice address
- 16-34 Ave Aguas Buenas
Santa Rosa
Bayamon, PR 00959-6631 - Phone
- (787) 810-3434
- Fax
- (787) 793-6538
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16203 | PR | Primary |
Addresses
Primary practice location
16-34 Ave Aguas Buenas
Santa Rosa
Bayamon, PR 00959-6631
Mailing address
Aguas Buenas Ave BLQ 16#34
Santa Rosa
Bayamon, PR 00959
Phone (787) 810-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16203 | Other | PR | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060228000394 | PR | Practitioner - General Practice | 1951317908 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- San Juan Bautista School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 Calle
Suite 1
San Juan, PR 00927-5134
Phone (787) 810-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios de Salud Villa Nevarez LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- San Juan, PR
- NPI 1396489126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1396715322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AGUAS BUENAS AVE BLQ 16#34",
"address_2": "SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-810-3434",
"fax_number": "787-793-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-34 AVE AGUAS BUENAS",
"address_2": "SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596631",
"telephone_number": "787-810-3434",
"fax_number": "787-793-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "WALESKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "16203",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.