Active NPI
Adriana C Palacios
- Medical Physician Assistant
- San Juan, PR
National Provider Identifier
1578315511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 402PA
- Practice address
- PO Box 363027
San Juan, PR 00936-3027 - Phone
- (787) 772-8300
- NPI assigned
- Apr 3, 2024
- Last updated
- Apr 3, 2024
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 402PA | PR | Primary |
Addresses
Primary practice location
PO Box 363027
San Juan, PR 00936-3027
Mailing address
Calle 4 H20 Urb Cupey Gardens
San Juan, PR 00926
Phone (787) 640-2114
Other practice location 1
PO Box 191811
San Juan, PR 00919-1811
Phone (787) 763-4149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402 | PR | MD | Physical Therapist |
| 402PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1578315511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 4 H20 URB CUPEY GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-640-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 363027",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009363027",
"telephone_number": "787-772-8300"
}
],
"practiceLocations": [
{
"address_1": "PO Box 191811",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009191811",
"country_code": "US",
"telephone_number": "787-763-4149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALACIOS",
"first_name": "ADRIANA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "402PA",
"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 Apr 3, 2024; 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.