Individual provider Active NPI

Reynaldo Pezzotti Alvarez, M.D.

  • Emergency Medicine Physician
  • Fajardo, PR
National Provider Identifier
1942239181
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7152 Issued in PR
Practice address
Ave.General Valero KL.2.6 Carr. 194
Fajardo, PR 00738
Phone
(787) 655-5030
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7152 PR Primary

Addresses

Primary practice location

Ave.General Valero KL.2.6 Carr. 194
Fajardo, PR 00738

Mailing address

Calle Ingenio # 275 Hacienda Margarita
Luquillo, PR 00773-3132
Phone (787) 448-5777

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
I20100422000834 PR Practitioner - Emergency MedicinePractitioner - General Practice 0840327821 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince May 1, 2014 Accepting new patients
Emergenciologos Para Puerto Rico,CSP Past Accepting new patients

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1942239181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE INGENIO # 275 HACIENDA MARGARITA",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007733132",
            "telephone_number": "787-448-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE.GENERAL VALERO KL.2.6 CARR. 194",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZOTTI ALVAREZ",
        "first_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.