Active NPI
Enrique Ariel Vera, MD
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1699801944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3155
- Practice address
- 1413 Ave Fernandez Juncos
Suite 2B
San Juan, PR 00909 - Phone
- (787) 721-1582
- Fax
- (787) 721-1583
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3155 | PR | Primary |
Addresses
Primary practice location
1413 Ave Fernandez Juncos
Suite 2B
San Juan, PR 00909
Mailing address
A11 Arroyo St
El Remanso
San Juan, PR 00926
Phone (787) 721-1582
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602209 | Other | PR | MMM |
| 8768 | Other | PR | FIRST MEDICAL IMC |
| 062874 | Other | PR | CRUZ AZUL |
| 209255 | Other | PR | PREFERRED HEALTH UTI |
| 23155 | Other | PR | MCS |
| 93478 | Other | PR | TRIPLE S |
| 93478 | Other | PR | MEDICARE |
| 9090033 | Other | PR | HUMANA |
| 93478 | Other | PR | PANAMERICAN LIFE |
| 3434 | Other | PR | AMERICAN HEALTH |
| 4196 | Other | PR | PREFERRED MEDICARE CHOICE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100902001146 | PR | Practitioner - Obstetrics/Gynecology | 9739203308 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3155 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699801944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A11 ARROYO ST",
"address_2": "EL REMANSO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-721-1582",
"fax_number": "787-721-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 AVE FERNANDEZ JUNCOS",
"address_2": "SUITE 2B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-721-1582",
"fax_number": "787-721-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "ENRIQUE",
"middle_name": "ARIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "3155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "602209",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL IMC",
"identifier": "8768",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "062874",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH UTI",
"identifier": "209255",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "23155",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "93478",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "93478",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9090033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PANAMERICAN LIFE",
"identifier": "93478",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "3434",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "4196",
"state": "PR"
}
],
"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 Jul 8, 2007; 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.