Waldestrudis Madera

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

A004264 Issued in PR

Practice address

Carr. 14, Terrenos San Lucas II
Ponce, PR 00732

Phone

(787) 840-6835

NPI assigned

Sep 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1568657898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5437",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249694",
            "telephone_number": "787-836-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 14, TERRENOS SAN LUCAS II",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-840-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "WALDESTRUDIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "A004264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LVS Family Medicine PSC
• Jorge Machicote
• Karla Macias, M. D.
• Madeline Fernandez Gonzalez CSP
• Demetrio J. Madera, PSY.D.
• Lynette D. Maestre-Bonet, MSW
• Magnifica Homehealth Support
• Maria Cristina Magraner Franceschini, PSY.D
• Miguel A Magraner-Suarez, MD
• Carla Marie Maisonet, MD

• General Practice Registered Nurse in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.