Individual provider Active NPI

Yaritza Ivelisse Pizarro Gonzalez, FNP

  • Primary Care Nurse Practitioner
  • San Juan, PR
National Provider Identifier
1730832783
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
004023 Issued in PR
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

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4023PRMDClinical Psychologist
004023PRMDPrimary 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

Verify at the official NPI Registry.