Individual provider Active NPI

Noemi Vizcarrondo-Acosta, M.D.

  • Pediatrics Physician
  • Bayamon, PR
National Provider Identifier
1942219902
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5227 Issued in PR
Practice address
Ave. Laurel Hospital Regional Bayamon
Centro Pediatrico de Bayamon
Bayamon, PR 00956
Phone
(787) 778-4747
Fax
(787) 786-8615
NPI assigned
Aug 7, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5227 PR Primary

Addresses

Primary practice location

Ave. Laurel Hospital Regional Bayamon
Centro Pediatrico de Bayamon
Bayamon, PR 00956

Mailing address

23 Esmeralda
Mansiones de San Rafael
Trujillo Alto, PR 00976
Phone (787) 760-8365

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

LicenseStateTypeSpecialty
5227PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1942219902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ESMERALDA",
            "address_2": "MANSIONES DE SAN RAFAEL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-760-8365",
            "fax_number": "787-786-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LAUREL HOSPITAL REGIONAL BAYAMON",
            "address_2": "CENTRO PEDIATRICO DE BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-778-4747",
            "fax_number": "787-786-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRONDO-ACOSTA",
        "first_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.