Active NPI
Yaritza Ivelisse Pizarro Gonzalez, FNP
- Primary Care Nurse Practitioner
- San Juan, PR
National Provider Identifier
1730832783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 004023
- Practice address
- Ave. Ponce de Leon
Parada 37
San Juan, PR 00919 - Phone
- (787) 758-2000
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 004023 | PR | Primary |
Addresses
Primary practice location
Ave. Ponce de Leon
Parada 37
San Juan, PR 00919
Mailing address
Calle 2 B-16
Urb. Quintas de Flamingo
Bayamon, PR 00950
Phone (787) 381-1659
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260121000699 | PR | Practitioner - Nurse Practitioner | 6608353743 | Practice locations: Juncos, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone (787) 930-5906
Camino de Guajataca
Urb. Sabanera Apt 458
Dorado, PR 00646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4023 | PR | MD | Clinical Psychologist |
| 004023 | PR | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1730832783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 2 B-16",
"address_2": "URB. QUINTAS DE FLAMINGO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00950",
"telephone_number": "787-381-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. PONCE DE LEON",
"address_2": "PARADA 37",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZARRO GONZALEZ",
"first_name": "YARITZA",
"middle_name": "IVELISSE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PR",
"license": "004023",
"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 Jan 31, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.