Individual provider

Yanira Medina Claudio, MD

General Practice Physician Medicare enrolled

Yanira Medina Claudio, MD is a General Practice Physician in Toa Baja, PR, registered under NPI 1205949153. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is HF16 CALLE LIZZIE GRAHAM 7MA SECCIO LEVITTOWN, Toa Baja, PR 00949. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

HF16 CALLE LIZZIE GRAHAM 7MA SECCIO LEVITTOWN, Toa Baja, PR 00949 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
15115 PR General Practice Physician primary

This provider holds licence 15115 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Practice
PAC ID
4688569270

Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205949153 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 16, 2006
Last updatedOct 1, 2012
StatusActive
Sole proprietorYes
CredentialMD
Practice address HF16 CALLE LIZZIE GRAHAM
7MA SECCIO LEVITTOWN
Toa Baja, PR 00949
(787) 795-2935
Mailing address AC1 CALLE RIO ESPIRITU SANTO RIO HONDO
Bayamon, PR 00961
This record was last updated on Oct 1, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1205949153 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 9 4 9 1 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 9 4 9 1 1

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205949153?
NPI 1205949153 is the National Provider Identifier assigned to Yanira Medina Claudio, MD in Toa Baja, PR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Yanira Medina Claudio, MD?
The phone number on file with NPPES is (787) 795-2935, last updated Oct 1, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Yanira Medina Claudio, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205949153 a valid number?
Yes. 1205949153 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.