Nidal Abukhalil Rashid, MD
Individual provider Active NPI General Practice Physician · Hatillo, PR
NPI 1760435226 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1760435226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 23024 (PR)
- Practice address
- C20 Calle Simplicio David
Hatillo, PR 00659-2217 - Phone
- (787) 674-5580
- Fax
- (787) 754-1059
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23024 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthobone Surgical, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23024 | PR | Yes |
Addresses
Primary practice location
C20 Calle Simplicio David
Hatillo, PR 00659-2217
Mailing address
PO Box 740
Hatillo, PR 00659-0740
Phone (440) 502-7171
Other providers in Hatillo, PR
- Dianora Carolina Acaba Rodriguez
- Isamarys Acevedo Gonzalez
- Jean Carlos Acevedo
- Wanda Acevedo
- Advance Respond Care Ambulance Inc
All providers in Hatillo, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.