Individual provider Active NPI

Xiomara Resto, MD

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1922621010
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22390 Issued in PR
Practice address
151 Ave Osvaldo Molina
Fajardo, PR 00738-4013
Phone
(787) 801-0081
NPI assigned
May 22, 2020
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22390 PR Primary

Addresses

Primary practice location

151 Ave Osvaldo Molina
Fajardo, PR 00738-4013

Mailing address

HC 9 Box 58423
Caguas, PR 00725-9240
Phone (787) 628-8905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address facultadmedica@caribbeanmedicalcenter.com Health Information Exchange (HIE)

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
I20210813002334 PR Practitioner - General Practice 2062816903 Practice locations: Fajardo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22390PRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: facultadmedica@caribbeanmedicalcenter.com

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1922621010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 58423",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259240",
            "telephone_number": "787-628-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AVE OSVALDO MOLINA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384013",
            "telephone_number": "787-801-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO",
        "first_name": "XIOMARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "facultadmedica@caribbeanmedicalcenter.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csv",
            "address_1": "151 Ave Osvaldo Molina",
            "city": "Fajardo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007384013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.