Active NPI
Ivette Falcon, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1962552786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9320 | PR | MD | Pharmacy 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.