Individual provider Active NPI

Analiese Medero-Gierbolini

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1881832152
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17,360 Issued in PR
Practice address
Carr. 175 KM 9.2 Cam. Eduvige Rivera
Bo. Carraizo Bajo
Trujillo Alto, PR 00976-6170
Phone
(787) 755-3003
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17,360 PR Primary

Addresses

Primary practice location

Carr. 175 KM 9.2 Cam. Eduvige Rivera
Bo. Carraizo Bajo
Trujillo Alto, PR 00976-6170

Mailing address

RR 2 Box 543
San Juan, PR 00926-9226

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000669 PR Practitioner - General Practice 9638224967 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17,360PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Apr 13, 2013 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Apr 13, 2013 Accepting new patients
MM Health Services LLC CurrentSince Oct 18, 2025 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Occupational & Aesthetic Medicine Services, CSP General Practice Past Accepting new patients
Personal Home Physician General Practice Past Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1881832152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 543",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 175 KM 9.2 CAM. EDUVIGE RIVERA",
            "address_2": "BO. CARRAIZO BAJO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766170",
            "telephone_number": "787-755-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDERO-GIERBOLINI",
        "first_name": "ANALIESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.