Individual provider Active NPI

Lourdes Garcia Alonso, M.D.

  • Nuclear Medicine Physician
  • San Juan, PR
National Provider Identifier
1982664652
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
11116 Issued in PR
Practice address
1462 Profesor Augusto Rodriguez St
San Juan, PR 00909
Phone
(787) 641-1616
Fax
(787) 257-7741
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 11116 PR Primary

Addresses

Primary practice location

1462 Profesor Augusto Rodriguez St
San Juan, PR 00909

Mailing address

PO Box 11665
San Juan, PR 00910-2765
Phone (787) 641-1616

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
I20070827000779 PR Practitioner - Nuclear Medicine 6800988445 Reassigns benefits to 1 organization
Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morgar CSPGroup PAC ID 9133394455, 2 clinicians

Practice addresses (Care Compare)

Roberto Clemente Ave
BLQ 114 4 Street 76
Carolina, PR 00983-4113
Phone (787) 776-7700

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11116PRMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Santurce, Inc. Past Accepting new patients
Carolina Nuclear Nuclear Medicine Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1982664652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11665",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102765",
            "telephone_number": "787-641-1616",
            "fax_number": "787-257-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 PROFESOR AUGUSTO RODRIGUEZ ST",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-641-1616",
            "fax_number": "787-257-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ALONSO",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "11116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.