Active NPI
Dora Liz Pastrana X
- Licensed Practical Nurse
- Trujillo Alto, PR
National Provider Identifier
1598465627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 30549
- Practice address
- Carr 845 Int. 199 KM. 3 HM 9 Barrio Las Cuevas
Centro Recuperacion Vida Independiente
Trujillo Alto, PR 00926-0092 - Phone
- (939) 277-0452
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30549 | PR | Primary |
Addresses
Primary practice location
Carr 845 Int. 199 KM. 3 HM 9 Barrio Las Cuevas
Centro Recuperacion Vida Independiente
Trujillo Alto, PR 00926-0092
Mailing address
BJ 676 Calle 51
Jardines de Rio Grande
Rio Grande, PR 00745
Phone (787) 688-4986
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 |
|---|---|---|---|
| 30549 | PR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1598465627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BJ 676 CALLE 51",
"address_2": "JARDINES DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-688-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 845 INT. 199 KM. 3 HM 9 BARRIO LAS CUEVAS",
"address_2": "CENTRO RECUPERACION VIDA INDEPENDIENTE",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009260092",
"telephone_number": "939-277-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTRANA",
"first_name": "DORA",
"middle_name": "LIZ",
"name_suffix": "X",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PR",
"license": "30549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.