Individual provider Active NPI

Nitza Noemi Vadi, M.D.

  • Specialist
  • Caguas, PR
National Provider Identifier
1497972186
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5824 Issued in PR
Practice address
Carr 183 U9
Urb Jose Mercado
Caguas, PR 00725
Phone
(787) 615-4611
Fax
(787) 703-2299
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5824 PR Primary

Addresses

Primary practice location

Carr 183 U9
Urb Jose Mercado
Caguas, PR 00725

Mailing address

PO Box 4960
PMB 295
Caguas, PR 00726-4960
Phone (787) 615-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000379 PR Practitioner - Psychiatry 0042301590 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Chumley Bloque 4
15 Urb Turabo Gardens
Caguas, PR 00726
Phone (787) 703-2299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5824PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1497972186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4960",
            "address_2": "PMB 295",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264960",
            "telephone_number": "787-615-4611",
            "fax_number": "787-703-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 183 U9",
            "address_2": "URB JOSE MERCADO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-615-4611",
            "fax_number": "787-703-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADI",
        "first_name": "NITZA",
        "middle_name": "NOEMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.