Active NPI
John Richard Nevarez
- Registered Nurse
- Cidra, PR
National Provider Identifier
1679041727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 77416
- Practice address
- Carretera 1 Bo Beatriz
Cidra, PR 00739 - Phone
- (787) 930-4470
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 77416 | PR | Primary |
Addresses
Primary practice location
Carretera 1 Bo Beatriz
Cidra, PR 00739
Mailing address
PO Box 1668
Cidra, PR 00739-1668
Phone (787) 930-4470
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 |
|---|---|---|---|
| 77416 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1679041727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1668",
"city": "CIDRA",
"state": "PR",
"postal_code": "007391668",
"telephone_number": "787-930-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 1 BO BEATRIZ",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-930-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVAREZ",
"first_name": "JOHN",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "77416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.