Individual provider Active NPI

Yahaira Moreno Denizard, M.D.

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1982898490
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17524 Issued in PR
Practice address
735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo 707
San Juan, PR 00917-5032
Phone
(787) 756-5900
Fax
(787) 756-5901
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 17524 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo 707
San Juan, PR 00917-5032

Mailing address

735 Ave Ponce de Leon
Torre Auxilio Mutuo 707
San Juan, PR 00917-5022
Phone (787) 756-5900

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
I20120918000745 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4880842756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University Central del Caribe Escuela de Medicina, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

715 Ave Ponce de Leon
Suite 707
San Juan, PR 00917-5032
Phone (787) 756-5900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ym Gastro LLC Gastroenterology CurrentSince Jul 17, 2015 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 707
San Juan, PR 00917
Phone (787) 756-5900

715 Ave Ponce de Leon
Ste 707
San Juan, PR 00917
Phone (787) 756-5900

Organizations & group practices 1

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1982898490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE AUXILIO MUTUO 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-756-5900",
            "fax_number": "787-756-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-756-5900",
            "fax_number": "787-756-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO DENIZARD",
        "first_name": "YAHAIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "17524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.