Active NPI
Nestor C Tirado, M.D.
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1871534990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5856
- Practice address
- 80 Calle Kings CT Apt 203
San Juan, PR 00911-1636 - Phone
- (787) 922-1512
- Fax
- (787) 726-1563
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5856 | PR | Primary |
Addresses
Primary practice location
80 Calle Kings CT Apt 203
San Juan, PR 00911-1636
Mailing address
80 Calle Kings CT
Apt. 203
San Juan, PR 00911-1636
Phone (787) 922-1512
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5856 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1871534990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 CALLE KINGS CT",
"address_2": "APT. 203",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111636",
"telephone_number": "787-922-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 CALLE KINGS CT APT 203",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111636",
"telephone_number": "787-922-1512",
"fax_number": "787-726-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO",
"first_name": "NESTOR",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "5856",
"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 Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.