Individual provider Active NPI

Nariely Nazario, M.D.

  • General Practice Physician
  • Lajas, PR
National Provider Identifier
1417223801
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18381 Issued in PR
Practice address
Carr 315 KM 1.2 Bo Sabana Yeguaz
Lajas, PR 00667
Phone
(787) 899-2094
Fax
(787) 899-2094
NPI assigned
Mar 29, 2012
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 18381 PR Primary

Addresses

Primary practice location

Carr 315 KM 1.2 Bo Sabana Yeguaz
Lajas, PR 00667

Mailing address

HC03 Box 27513
Lajas, PUERTO RICO 00667
UM
Phone (787) 382-1078

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
I20121026000474 PR Practitioner - General Practice 9537319553 Practice locations: Lajas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27513 HC
Suite 3
Lajas, PR 00667

Carr 315 KM 1
Lajas, PR 00667
Phone (787) 899-2836

HC 3 Box
Suite 27513
Lajas, PR 00667

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nariely Nazario MD General Practice CurrentSince Apr 30, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nariely.nazario.1@30885.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1417223801",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "HC03 BOX 27513",
            "city": "LAJAS",
            "state": "PUERTO RICO",
            "postal_code": "00667",
            "telephone_number": "787-382-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 315 KM 1.2 BO SABANA YEGUAZ",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-2094",
            "fax_number": "787-899-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "NARIELY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.