Andrea Testani
Individual provider Active NPI General Practice Physician · San German, PR
NPI 1407620602 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1407620602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 23660 (PR)
- Practice address
- E34 Calle 10
San German, PR 00683-3816 - Phone
- (787) 951-2749
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807004088 | PR | Practitioner - General Practice | 8628515665 |
Reassigns benefits to 1 organization Practice locations: San German, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23660 | PR | MD | General Practice Physician |
| 001360 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medicina Primaria Vega Alta | General Practice | Current |
Accepting new patients |
| Centro de Medicina Primaria VA | General Practice | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23660 | PR | Yes |
| 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
Other providers in San German, PR
- Southwest Ophthalmic CSP
- Southwest Optical Corp
- Giselle Suarez Irizarry
- Miguel Angel Suarez
- Super Farmacia Mayi Incorporado
- Valeria Cristina Toro Diaz
- Ramon Toro Torres
- Suzette Toro
- Wilbert Toro
- Carmen M Torres Dalmau
All providers in San German, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.