Active NPI
Gladys Nilda Visbal, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1801820865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 003252
- Practice address
- 270 Calle Harvard
Urb. University Gardens
San Juan, PR 00927-4111 - Phone
- (787) 765-4589
- Fax
- (787) 281-6147
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 003252 | PR | Primary |
Addresses
Primary practice location
270 Calle Harvard
Urb. University Gardens
San Juan, PR 00927-4111
Mailing address
270 Calle Harvard
Urb. University Gardens
San Juan, PR 00927-4111
Phone (787) 765-4589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 16, 2015 through Dec 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3252 | PR | MD | Pharmacist |
| 003252 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1801820865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CALLE HARVARD",
"address_2": "URB. UNIVERSITY GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274111",
"telephone_number": "787-765-4589",
"fax_number": "787-281-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CALLE HARVARD",
"address_2": "URB. UNIVERSITY GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274111",
"telephone_number": "787-765-4589",
"fax_number": "787-281-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISBAL",
"first_name": "GLADYS",
"middle_name": "NILDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "003252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.