Roberto P. Bordewyk

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

7691 Issued in PR

Practice address

VA Caribean Health Care System 10 Casia St.
Nuclear Medicine (115)
San Juan, PR 00921

Phone

(787) 641-2906

Fax

(787) 641-4597

NPI assigned

Aug 18, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619081478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH VIEW ST. BALDWIN PARK",
            "address_2": "#B-23",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA CARIBEAN HEALTH CARE SYSTEM 10 CASIA ST.",
            "address_2": "NUCLEAR MEDICINE (115)",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-641-2906",
            "fax_number": "787-641-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEWYK",
        "first_name": "ROBERTO",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "7691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Bonilla, M.D.
• Phillip Lee Bonneaux, MD
• Maritza Bonnet, RD,LND
• Maria E Bonnin-Suris, M.D.
• Kassandra Marie Bordado May, LPRC
• William Borges Cancel, M.D.
• Karen Borges Perez I, MSN
• Hidelisa Borges-Aponte, MD
• Maribel Boria
• Zaida Boria, M.D.

• Nuclear Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nuclear Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.