Active NPI
Nieves J Gaztambide, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1720359268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3934
- Practice address
- 500 Ave Jesus T Pinero
Suite 1001
San Juan, PR 00918-4003 - Phone
- (787) 620-4042
- NPI assigned
- Jan 13, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3934 | PR | Primary |
Addresses
Primary practice location
500 Ave Jesus T Pinero
Suite 1001
San Juan, PR 00918-4003
Mailing address
PO Box 364007
San Juan, PR 00936-4007
Phone (787) 531-1125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3934 | Other | PR | PUERTO RICO BOARD MEDICAL EXAMINERS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3934 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1720359268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364007",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009364007",
"telephone_number": "787-531-1125",
"fax_number": "787-946-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVE JESUS T PINERO",
"address_2": "SUITE 1001",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184003",
"telephone_number": "787-620-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZTAMBIDE",
"first_name": "NIEVES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "3934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO BOARD MEDICAL EXAMINERS",
"identifier": "3934",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Gastroenterology Services of the Caribbean LLC
- Gastrovem, LLC
- Carolina Gaud Rodriguez, MD
- Frank A Gaudier Guerra, M.D.
- Rodulfo A Gauthier, DMD
- GCM Medical Group, PSC
- GDS Healing Hands, LLC (Healing Hands Chiropractic Center)
- Gilberto R Geigel Cervoni, PSY D
- Geigel Integrative Health LLC
- Monica Marie Geigel Lameiro, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.