Individual provider Active NPI

Alberto Llaurador Nieves

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1760409544
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15194 Issued in PR
Practice address
39 Calle Santo Domingo
Yauco, PR 00698
Phone
(787) 856-4747
Fax
(787) 992-7104
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15194 PR Primary

Addresses

Primary practice location

39 Calle Santo Domingo
Yauco, PR 00698

Mailing address

PO Box 253
Penuelas, PR 00624-0000
Phone (787) 856-4747

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
I20040417000167 PR Practitioner - General Practice 8527053743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15194PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
G & a Medical Group Corp CurrentSince Aug 31, 2019 Accepting new patients
Llaurador & Ortiz Medical Corporation Past Accepting new patients

Locations

39 Calle Santo Domingo
Yauco, PR 00698
Phone (787) 856-4747

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1760409544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240000",
            "telephone_number": "787-856-4747",
            "fax_number": "787-992-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE SANTO DOMINGO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-4747",
            "fax_number": "787-992-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAURADOR NIEVES",
        "first_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.