Active NPI
Nildaliz Andrews, M.D.
- General Practice Physician
- Toa Baja, PR
National Provider Identifier
1528018124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15418
- Practice address
- N19 Calle 14
Lagos de Plata
Toa Baja, PR 00949-3233 - Phone
- (787) 249-8644
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15418 | PR | Primary |
Addresses
Primary practice location
N19 Calle 14
Lagos de Plata
Toa Baja, PR 00949-3233
Mailing address
N19 Calle 14
Lagos de Plata
Toa Baja, PR 00949-3233
Phone (787) 249-8644
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-2307-2 | Other | PR | ACAA |
| 31-15418 | Other | PR | UIA |
| 500489E | Other | PR | MMM |
| 9570028 | Other | PR | HUMANA |
| 212905 | Other | PR | PREFERRED |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15418 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Cancer de la Universidad | Current | Accepting new patients |
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 and National Provider Directory roles.
-
dba Grupo Medico Centro Comprensivo de Cancer
- Hematology & Oncology Physician
- San Juan, PR
- NPI 1215418751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1528018124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N19 CALLE 14",
"address_2": "LAGOS DE PLATA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009493233",
"telephone_number": "787-249-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N19 CALLE 14",
"address_2": "LAGOS DE PLATA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009493233",
"telephone_number": "787-249-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "NILDALIZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "01-2307-2",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "31-15418",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "500489E",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9570028",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED",
"identifier": "212905",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toa Baja, PR
- Alordis Rehabilitation Center Corp
- Alvarez Medical Home Services LLC
- Tanya Idith Ann Alvarez Remesal, PSY. D -DOCTOR
- Jessica Alvarez Santana, MSW
- Ivelisse Alverio Santana, LND
- Aps Clinics of Puerto Rico, Inc.
- Aps Clinics of Puerto Rico, Inc.
- Vanessa M Aquino, OTR
- Iris M Aranzamendi
- Nelson Arizmendi, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.