Active NPI
Luis Tirado
- Registered Nurse
- San Juan, PR
National Provider Identifier
1548922891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 88798
- Practice address
- Calle Prof. Augusto Rodriguez
Condominio Asia, Suite 600 1503
San Juan, PR 00909 - Phone
- (787) 497-0800
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 88798 | PR | Primary |
Addresses
Primary practice location
Calle Prof. Augusto Rodriguez
Condominio Asia, Suite 600 1503
San Juan, PR 00909
Mailing address
Calle Prof. Augusto Rodriguez
Condominio Asia, Suite 600 1503
San Juan, PR 00909
Phone (787) 497-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88798 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1548922891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE PROF. AUGUSTO RODRIGUEZ",
"address_2": "CONDOMINIO ASIA, SUITE 600 1503",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-497-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PROF. AUGUSTO RODRIGUEZ",
"address_2": "CONDOMINIO ASIA, SUITE 600 1503",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-497-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO",
"first_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "88798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.