Individual provider Active NPI

Hector Ivan Carides, RN

  • General Practice Registered Nurse
  • Isabela, PR
National Provider Identifier
1033460720
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
028594 Issued in PR
Practice address
Urb. Santa Rosa
C/ Inglaterra 1355
Isabela, PR 00662-4764
Phone
(787) 599-6630
NPI assigned
Sep 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 028594 PR Primary

Addresses

Primary practice location

Urb. Santa Rosa
C/ Inglaterra 1355
Isabela, PR 00662-4764

Mailing address

Urb. Santa Rosa
Calle Inglaterra 1355
Isabela, PR 00662-4764
Phone (787) 239-7585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
028594PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1033460720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA ROSA",
            "address_2": "CALLE INGLATERRA 1355",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624764",
            "telephone_number": "787-239-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTA ROSA",
            "address_2": "C/ INGLATERRA 1355",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624764",
            "telephone_number": "787-599-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIDES",
        "first_name": "HECTOR",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "028594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.