Individual provider Active NPI

Bethzaida Torres Nadal, M.D.

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1508998428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12643 Issued in PR
Practice address
Plazoleta Las Americas 2015
Ave Las Americas Suite 101
Ponce, PR 00717-0784
Phone
(787) 842-8945
Fax
(787) 290-4472
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12643 PR Primary

Addresses

Primary practice location

Plazoleta Las Americas 2015
Ave Las Americas Suite 101
Ponce, PR 00717-0784

Mailing address

Urb Alta Vista M8
Calle 10
Ponce, PR 00731
Phone (787) 812-5833

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
I20040920001160 PR Practitioner - Family Practice 8325016165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Policlinica Las Americas Medical Center, Inc.Group PAC ID 2567497951, 2 clinicians

Practice addresses (Care Compare)

2015 Boulevard Luis a Ferre
Suite 101
Ponce, PR 00717
Phone (787) 842-8945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Las Americas Medical Center, Inc. Family Medicine CurrentSince Jan 20, 2016 Accepting new patients
Policlinica Las Americas Medical Center Inc Family Medicine PastSince Mar 9, 2020 Accepting new patients

Locations

2015 Blvd Luis a Ferre
Ste 101
Ponce, PR 00717

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508998428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ALTA VISTA M8",
            "address_2": "CALLE 10",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-812-5833",
            "fax_number": "787-290-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZOLETA LAS AMERICAS 2015",
            "address_2": "AVE LAS AMERICAS SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170784",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES NADAL",
        "first_name": "BETHZAIDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.