Active NPI
Yolanda C Clavell, MD
- Specialist
- Ponce, PR
National Provider Identifier
1548224595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9224
- Practice address
- Saint Lukes Memorial Hospital Ave Tito Castro 917
Lobby C
Ponce, PR 00733-6810 - Phone
- (787) 844-2080
- Fax
- (787) 842-8111
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9224 | PR | Primary |
Addresses
Primary practice location
Saint Lukes Memorial Hospital Ave Tito Castro 917
Lobby C
Ponce, PR 00733-6810
Mailing address
PO Box 7685
Ponce, PR 00732-7685
Phone (787) 842-8111
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000157 | PR | Practitioner - Internal Medicine | 9931388139 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9224 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1548224595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7685",
"city": "PONCE",
"state": "PR",
"postal_code": "007327685",
"telephone_number": "787-842-8111",
"fax_number": "787-842-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAINT LUKES MEMORIAL HOSPITAL AVE TITO CASTRO 917",
"address_2": "LOBBY C",
"city": "PONCE",
"state": "PR",
"postal_code": "007336810",
"telephone_number": "787-844-2080",
"fax_number": "787-842-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAVELL",
"first_name": "YOLANDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "9224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Jorge Luis Ciordia Gonzalez, M.D.
- Marie Gabrielle Clancey-Rivera, MD STUDENT
- Teresa Class Feliciano
- Carmen Amparo Clavell, RN
- Valerie Clavell, DMD
- Clinica Armonia LLC
- Clinica de Linfedema Deliz Bauza LLC
- Clinica de Medicina Primaria del Sur.CSP
- Clinica de Servicios Psicologicos Serenidad LLC
- Clinica del Dr Malave
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.