Individual provider Active NPI

Antonio Alvarez-Berdecia, MD

  • Neurological Surgery Physician
  • San Juan, PR
National Provider Identifier
1780861740
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4447 Issued in PR
Practice address
University of Puerto Rico Medical Science Campus
Department of Neurosurgery, 9TH Floor Box 364083
San Juan, PR 00936-4083
Phone
(787) 460-8281
Fax
(787) 774-1171
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4447 PR Primary

Addresses

Primary practice location

University of Puerto Rico Medical Science Campus
Department of Neurosurgery, 9TH Floor Box 364083
San Juan, PR 00936-4083

Mailing address

PO Box 364083
San Juan, PR 00936-4083
Phone (787) 460-8281

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
I20161121000369 PR Order and Referring Only - NeurosurgeryPractitioner - Neurosurgery 4385923028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4447PRMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1780861740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364083",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364083",
            "telephone_number": "787-460-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS",
            "address_2": "DEPARTMENT OF NEUROSURGERY, 9TH FLOOR BOX 364083",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364083",
            "telephone_number": "787-460-8281",
            "fax_number": "787-774-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-BERDECIA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.