Individual provider Active NPI

Nisislay Ramos Rodriguez, M.D.

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1942274014
Registry record updated Sep 10, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9739 Issued in PR
Practice address
29 Calle Munoz Rivera
Aguadilla, PR 00603-5107
Phone
(787) 891-5592
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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 9739 PR Primary

Addresses

Primary practice location

29 Calle Munoz Rivera
Aguadilla, PR 00603-5107

Mailing address

PO Box 306
Aguadilla, PR 00605-0306
Phone (787) 891-5592

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
I20130705000354 PR Practitioner - General Practice 7719127232 Practice locations: Aguadilla, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9739PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1942274014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050306",
            "telephone_number": "787-891-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE MUNOZ RIVERA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035107",
            "telephone_number": "787-891-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS RODRIGUEZ",
        "first_name": "NISISLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.