Individual provider Active NPI

Ivette Falcon, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1962552786
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9320 Issued in PR
Practice address
414 Ave Barbosa
Bayamon Methadone Center
San Juan, PR 00917-4306
Phone
(787) 787-4464
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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 9320 PR Primary

Addresses

Primary practice location

414 Ave Barbosa
Bayamon Methadone Center
San Juan, PR 00917-4306

Mailing address

Urb. Borinquen Gardens
Jasmin DD-29
San Juan, PR 00926-6311
Phone (787) 547-5646

Other names 1

  • Ivette Falcon Gomez Professional name

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
9320PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1962552786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BORINQUEN GARDENS",
            "address_2": "JASMIN DD-29",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266311",
            "telephone_number": "787-547-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 AVE BARBOSA",
            "address_2": "BAYAMON METHADONE CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174306",
            "telephone_number": "787-787-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "IVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "FALCON GOMEZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.