Gerardo J Medina Caban, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

14373 Issued in PR

Practice address

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042

Phone

(787) 834-5334

Fax

(787) 833-6640

NPI assigned

Sep 15, 2006

Last updated

Oct 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Nephrology

Education

University of Puerto Rico School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nefrologos Asociados del OesteGroup PAC ID 1951297951, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital de la Concepcion Hospital, San German, PR, CCN 400021
• Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nefrologos Asociados del Oeste

  • Nephrology Physician
  • Mayaguez, PR
  • NPI 1861596496
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1366484594
  Care Compare affiliation
• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Care Compare affiliation

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1003912288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CABAN",
        "first_name": "GERARDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Marie Medero-Rodriguez, M.D.
• Orelbe Mederos Broche, MD
• Medical Express Corp
• Medical Quality Inc
• Medicina Preventiva del Oeste
• Debbie Ann Medina Gonzalez, OPTHOMETRIC, O.D.
• Kimberly Medina Morales
• Angel Medina Torres
• Cesar A Medina-Diaz, PSY.D., M.A.
• Angel Rolando Medina, MD

• Nephrology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.