Individual provider Active NPI

Andrea Testani

  • General Practice Physician
  • San German, PR
National Provider Identifier
1407620602
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23660 Issued in PR
Practice address
E34 Calle 10
San German, PR 00683-3816
Phone
(787) 951-2749
NPI assigned
Nov 8, 2023
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23660 PR Primary
Medical Physician Assistant 363AM0700X 001360 PR

Addresses

Primary practice location

E34 Calle 10
San German, PR 00683-3816

Mailing address

E34 Calle 10
San German, PR 00683-3816
Phone (787) 951-2749

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
I20240807004088 PR Practitioner - General Practice 8628515665 Reassigns benefits to 1 organization
Practice locations: San German, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23660PRMDGeneral Practice Physician
001360PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Primaria VA General Practice CurrentSince May 31, 2024 Accepting new patients
Centro Medicina Primaria Vega Alta General Practice CurrentSince May 31, 2024 Accepting new patients

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, 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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1407620602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E34 CALLE 10",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006833816",
            "telephone_number": "787-951-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E34 CALLE 10",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006833816",
            "telephone_number": "787-951-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTANI",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23660",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "001360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.