Individual provider Active NPI

Siulmary Luisa De Jesus Caban, FNP-C

  • Family Nurse Practitioner
  • San Juan, PR
National Provider Identifier
1003780180
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5924-PA Issued in PR
Practice address
Hospital Auxilio Mutuo
Ave Juan Ponce de Leon 715
San Juan, PR 00917-5032
Phone
(787) 758-2000
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5924-PA PR Primary

Addresses

Primary practice location

Hospital Auxilio Mutuo
Ave Juan Ponce de Leon 715
San Juan, PR 00917-5032

Mailing address

1746 Calle Afrodita
Urb Venus Garden
San Juan, PR 00926-4848
Phone (787) 329-6016

Other practice location 1

1746 Calle Afrodita
Urb Venus Garden
San Juan, PR 00926-4848
Phone (787) 329-6016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125004180 PR Practitioner - Nurse Practitioner 4880186972 Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone (787) 329-6016

Urb Venus Garden Calle Afrodita
Suite 1746
San Juan, PR 00926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5924-PAPRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1003780180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 CALLE AFRODITA",
            "address_2": "URB VENUS GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264848",
            "telephone_number": "787-329-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL AUXILIO MUTUO",
            "address_2": "AVE JUAN PONCE DE LEON 715",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 CALLE AFRODITA",
            "address_2": "URB VENUS GARDEN",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009264848",
            "country_code": "US",
            "telephone_number": "787-329-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS CABAN",
        "first_name": "SIULMARY",
        "middle_name": "LUISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "5924-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.