Tamara Poventud, MD – Pediatrics Physician

Key facts

NPI: 1821250705
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 12381 (PR)
Practice address: Calle 5 #70 Parcelas Calderona
Ceiba, PR 00735
Phone: (787) 909-8455
Fax: (787) 863-1220
NPI assigned: Jul 1, 2008
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
12381	PR	MD	Pediatrics Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	12381	PR	Yes

Addresses

Primary practice location

Calle 5 #70 Parcelas Calderona
Ceiba, PR 00735

Mailing address

PO Box 675
Fajardo, PR 00738-0675
Phone (787) 909-8455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2026.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1821250705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380675",
            "telephone_number": "787-909-8455",
            "fax_number": "787-863-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 5 #70 PARCELAS CALDERONA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-909-8455",
            "fax_number": "787-863-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVENTUD",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceiba, PR

All providers in Ceiba, PR · Pediatrics Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.