Active NPI
Yania Nicolau, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1659617967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18978
- Practice address
- 139 Carr 177
Apt 606
San Juan, PR 00926-5348 - Phone
- (787) 367-5057
- NPI assigned
- Dec 14, 2012
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18978 | PR | Primary |
Addresses
Primary practice location
139 Carr 177
Apt 606
San Juan, PR 00926-5348
Mailing address
139 Carr 177
Apt 606
San Juan, PR 00926-5348
Phone (787) 367-5057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermgroup LLC | Single Specialty | Current | Accepting new patients |
| Physician H.M.O. Inc. | Single Specialty | Current | Accepting new patients |
Locations
107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intermediate Emergency Medical Technician
- San Juan, PR
- NPI 1730481649
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1659617967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CARR 177",
"address_2": "APT 606",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265348",
"telephone_number": "787-367-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CARR 177",
"address_2": "APT 606",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265348",
"telephone_number": "787-367-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAU",
"first_name": "YANIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "18978",
"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 Jun 10, 2021; 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.