Ijac

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13155 Issued in PR

Legal business name

IJAC

Practice address

6 Calle Socorro
Quebradillas, PR 00678

Phone

(787) 895-3684

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jose Antonio Carrero Soto, MD

Title

MD

Phone

(787) 895-3684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Carrero, MD

  • General Practice Physician
  • Hormigueros, PR
  • NPI 1184837635
  Medicare reassignment NPD

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1013455690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B2 CALLE 1",
            "address_2": "VISTAS DE CAMUY",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272904",
            "telephone_number": "787-895-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE SOCORRO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "CARRERO SOTO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-895-3684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "13155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Hernandez, RPH
• Juan Francisco Hernandez, M.D.
• HG Medical & Esthetic Services LLC
• Hri Inc
• Ana M Igartua Veray, M.D.
• Infinity Medical Care Inc
• J M Transport #1 Corp
• Jaime Abrams Mercado
• Jesus M. Diaz Delgado
• Idalis Jimenez Gonzalez, RPT

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.