Individual provider Active NPI

David Azzaro, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1790754596
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15187 Issued in PR
Practice address
Urb.Vista Mar Adriano Gonzalez 14
Arecibo, PR 00612
Phone
(787) 881-2228
Fax
(787) 881-2228
NPI assigned
Mar 15, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 15187 PR Primary

Addresses

Primary practice location

Urb.Vista Mar Adriano Gonzalez 14
Arecibo, PR 00612

Mailing address

Urb.Vista Mar Adriano Gonzalez 14
Arecibo, PR 00612
Phone (787) 881-2228

Other names 1

  • David Azzaro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040628001626 PR Practitioner - General Practice 6507842648 Reassigns benefits to 3 organizations
I20240522001218 FL Practitioner - General Practice 6507842648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Vista Mar
14 Adriano Gonzalez
Arecibo, PR 00612
Phone (787) 881-2228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15187PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc CurrentSince Feb 14, 2019 Accepting new patients
Azzaro Health Medical LLC General Practice CurrentSince Apr 18, 2021 Accepting new patients
Horizon Health and Management Consulting Group Corp General Practice CurrentSince Jun 19, 2025 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Metro Pavia Healthcare Center CurrentSince Feb 14, 2019 Accepting new patients

Locations

14 Calle Adriano Gonzalez
Arecibo, PR 00612
Phone (787) 249-9134

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEFDD/Endpoint/ICEFDD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1790754596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB.VISTA MAR ADRIANO GONZALEZ 14",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-881-2228",
            "fax_number": "787-881-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB.VISTA MAR ADRIANO GONZALEZ 14",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-881-2228",
            "fax_number": "787-881-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARO",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "AZZARO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.