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NICOLE MASSANET MD
NPI 1609329473
General Practice in San Juan, PR

Active since July 28, 2016PECOS Enrolled
715 AVE PONCE DE LEON # 37.5, SAN JUAN, PR 00917(787) 758-2000 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2021, May 22, 2020 (2 updates tracked since 2020).

About Nicole Massanet Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MASSANET MD (NPI 1609329473) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (22359) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1609329473
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameNICOLE MASSANETCredential: MD
Location Address715 AVE PONCE DE LEON # 37.5San Juan, PR 00917-5032
Mailing Address85 Plaza Camelia, Urb. PrimaveraTrujillo Alto, PR 00976 · (787) 644-5977
Phone(787) 758-2000
Sole ProprietorNo
Enumeration DateJuly 28, 2016
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1609329473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 22359
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 1University District Hospital, Puerto Rico Medical Center BO. MonacillosSan Juan, PR 00935-0001 · Phone (787) 754-0101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Massanet Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE CONCEPCION M.D.
Internal Medicine (Hematology & Oncology)
715 AVE PONCE DE LEON # 37.5
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Massanet's NPI number?

The NPI number for Nicole Massanet is 1609329473. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Nicole Massanet located?

Nicole Massanet practices at 715 Ave Ponce De Leon # 37.5, San Juan, PR 00917. The listed phone number is (787) 758-2000.

What is Nicole Massanet's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicole Massanet enrolled in Medicare?

Yes. Nicole Massanet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Massanet was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.