Individual provider Active NPI

Nydia Ivette Santana Segarra, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1780868943
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16967 Issued in PR
Practice address
Calle Palmer # 22N
Guayama, PR 00784
Phone
(787) 384-9703
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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 16967 PR Primary

Addresses

Primary practice location

Calle Palmer # 22N
Guayama, PR 00784

Mailing address

PO Box 2724
Guayama, PR 00785-2724
Phone (787) 384-9703

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
I20080228000006 PR Practitioner - General Practice 4587748678 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Municipio de GuayanillaGroup PAC ID 7113932328, 7 clinicians

Practice addresses (Care Compare)

13 Calle Jose de Diego
Guayanilla, PR 00656-1830
Phone (787) 835-7333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Guayanilla Current Accepting new patients
Municipio de Guayanilla Current Accepting new patients

Locations

13 Calle Jose de Diego
Guayanilla, PR 00656
Phone (787) 835-5366

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1780868943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2724",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852724",
            "telephone_number": "787-384-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER # 22N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-384-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA SEGARRA",
        "first_name": "NYDIA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.