Active NPI
Kareen T. Tirado, M.D.
- General Practice Physician
- Vega Alta, PR
National Provider Identifier
1811933633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15778
- Practice address
- 3 Luis Munoz Rivera
Vega Alta, PR 00692 - Phone
- (787) 883-0124
- NPI assigned
- Jun 21, 2006
- Last updated
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15778 | PR | Primary |
Addresses
Primary practice location
3 Luis Munoz Rivera
Vega Alta, PR 00692
Mailing address
Las Praderas 1053
Jaspe St.
Barceloneta, PR 00617-2957
Phone (787) 846-3794
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15778 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Medicina Primaria VA | General Practice | Current | Accepting new patients |
| Centro Medicina Primaria Vega Alta | General Practice | Current | Accepting new patients |
| Centro Medicina Primaria Vega Alta | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Physician
- Vega Alta, PR
- NPI 1184708448
-
- General Practice Physician
- Vega Alta, PR
- NPI 1932327665
-
- Emergency Care Clinic/Center
- Vega Alta, PR
- NPI 1194183558
General Practice
-
- Clinical Medical Laboratory
- Vega Alta, PR
- NPI 1992166540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1811933633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAS PRADERAS 1053",
"address_2": "JASPE ST.",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006172957",
"telephone_number": "787-846-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LUIS MUNOZ RIVERA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-883-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO",
"first_name": "KAREEN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.