Active NPI
Ginna Elizabeth Pietri, PA
- Physician Assistant
- Ponce, PR
National Provider Identifier
1831782952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 814-PA
- Practice address
- 290 Calle Caguana
Urb. Villa Tabaiba
Ponce, PR 00716-1332 - Phone
- (787) 962-6889
- NPI assigned
- Feb 19, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 814-PA | PR | Primary |
Addresses
Primary practice location
290 Calle Caguana
Urb. Villa Tabaiba
Ponce, PR 00716-1332
Mailing address
290 Calle Caguana
Urb. Villa Tabaiba
Ponce, PR 00716-1332
Phone (787) 962-6889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814-PA | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1831782952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 CALLE CAGUANA",
"address_2": "URB. VILLA TABAIBA",
"city": "PONCE",
"state": "PR",
"postal_code": "007161332",
"telephone_number": "787-962-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CALLE CAGUANA",
"address_2": "URB. VILLA TABAIBA",
"city": "PONCE",
"state": "PR",
"postal_code": "007161332",
"telephone_number": "787-962-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRI",
"first_name": "GINNA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "814-PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.