Individual provider Active NPI

Gilmarie Cumba Llavona, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1902854409
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14346 Issued in PR
Practice address
Instituto San Pablo
Calle Santa Cruz Suite 201
Bayamon, PR 00961-7041
Phone
(787) 778-5352
Fax
(787) 778-5302
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 14346 PR Primary

Addresses

Primary practice location

Instituto San Pablo
Calle Santa Cruz Suite 201
Bayamon, PR 00961-7041

Mailing address

349 Ave Felisa R de Gautier
Cond. Paseo Monte 381 Apt 1607
San Juan, PR 00926-6673
Phone (787) 778-5353

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
I20040116000128 PR Practitioner - General Practice 9335040088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14346PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Medical Diagnostics LLC Current Accepting new patients
New Vision Medical Diagnostic LLC General Practice CurrentSince May 19, 2018 Accepting new patients

Locations

36 Calle Barbosa
#F
Bayamon, PR 00961

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1902854409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 AVE FELISA R DE GAUTIER",
            "address_2": "COND. PASEO MONTE 381 APT 1607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266673",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INSTITUTO SAN PABLO",
            "address_2": "CALLE SANTA CRUZ SUITE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-778-5352",
            "fax_number": "787-778-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBA LLAVONA",
        "first_name": "GILMARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.