Active NPI
Maria I Carrera Baquero, MD
- Gynecology Physician
- Fajardo, PR
National Provider Identifier
1003807389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8515
- Practice address
- 101 Calle Union E
Fajardo, PR 00738-4801 - Phone
- (787) 863-1065
- Fax
- (787) 863-1065
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 8515 | PR | Primary |
Addresses
Primary practice location
101 Calle Union E
Fajardo, PR 00738-4801
Mailing address
PO Box 667
Fajardo, PR 00738-0667
Phone (787) 863-1065
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110624000281 | PR | Practitioner - Obstetrics/Gynecology | 8628256567 | Practice locations: Fajardo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1003807389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007380667",
"telephone_number": "787-863-1065",
"fax_number": "787-863-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CALLE UNION E",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007384801",
"telephone_number": "787-863-1065",
"fax_number": "787-863-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA BAQUERO",
"first_name": "MARIA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PR",
"license": "8515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
- Caribe Physicians Plaza
- Caribe Physicians Plaza Corporation
- Caribe Physicians Plaza Corporation
- Carlos E Marin Cortes MD LLC
- Anabel Carrasquillo Castro, PSY.D
- Rafael J Carrillo-Carambot, MD
- Elizabeth Carrillo
- Casa de Salud del Este Inc.
- Castro Gastroenterology Medical Services, LLC
- Eric Manuel Castrodad Santini, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.