Individual provider Active NPI

Tyffany Sebastian Hurtado, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1760153068
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23835 Issued in PR
Practice address
4021 Calle El Anaez
Ponce, PR 00728-2033
Phone
(787) 981-9855
NPI assigned
Sep 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 35776-R PR
Internal Medicine Physician 207R00000X 23835 PR Primary

Addresses

Primary practice location

4021 Calle El Anaez
Ponce, PR 00728-2033

Mailing address

4021 Calle El Anaez
Ponce, PR 00728-2033
Phone (787) 981-9855

Other practice location 1

Centro Medico de Puerto Rico Bo. Monacillos
4th Floor
San Juan, PR 00917
Phone (787) 480-2792

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251115000132 PR Practitioner - Internal Medicine 6901396209 Practice locations: Guayama, PR; Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Acerola Cotto Laurel
Hospital Menonita Ponce
Ponce, PR 00780
Phone (787) 848-2100

Calle El Anaez
Suite 4021
Ponce, PR 00728

PO Box
Suite 43
Aibonito, PR 00705

Urbanizacion la Hacienda
Avenida Pedro Albizu Campos
Guayama, PR 00784-0011
Phone (787) 864-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23835PRMDInternal Medicine Physician
35776-RPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1760153068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 CALLE EL ANAEZ",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282033",
            "telephone_number": "787-981-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 CALLE EL ANAEZ",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282033",
            "telephone_number": "787-981-9855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CENTRO MEDICO DE PUERTO RICO BO. MONACILLOS",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-480-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN HURTADO",
        "first_name": "TYFFANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "35776-R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "23835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.