Individual provider Active NPI

Carlos M Chevere, M.D.

  • Radiation Oncology Physician
  • Rio Piedras, PR
National Provider Identifier
1023025285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10670 Issued in PR
Practice address
Isaac Gonzalez Martinez Hospital Centro Medico Area
Radioterapia Basement
Rio Piedras, PR 00935
Phone
(787) 754-0315
Fax
(787) 763-9871
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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

Medicare Care Compare profile

Specialty
Radiation Oncology
Education
Ponce School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Radioterapia del Norte (2 clinicians)
Centro de Cancer de la Universidad (21 clinicians)

Practice addresses (Care Compare)

7 Carr
2 KM
Manati, PR 00674-4894
Phone (787) 621-0021

Centro Medico de PR
Paseo Jose Celso Barbosa
San Juan, PR 00927
Phone (787) 772-8300

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120620000159 PR Practitioner - Radiation Oncology 2961417035 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10670FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc Current
since May 20, 2012
Accepting new patients
Centro Medico del Turabo Inc Current
since May 20, 2012
Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10670 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Isaac Gonzalez Martinez Hospital Centro Medico Area
Radioterapia Basement
Rio Piedras, PR 00935

Mailing address

PMB 10 PO Box 70344
San Juan, PR 00936-8344
Phone (787) 754-0315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023025285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 10 PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-754-0315",
            "fax_number": "787-763-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISAAC GONZALEZ MARTINEZ HOSPITAL CENTRO MEDICO AREA",
            "address_2": "RADIOTERAPIA BASEMENT",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-754-0315",
            "fax_number": "787-763-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVERE",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "10670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.