Individual provider Active NPI

Astrid A Carrero Perez, M.D.

  • Emergency Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1043258098
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15706 Issued in PR
Practice address
Ave Condominio
Urb. Reparto Flamboyan
Mayaguez, PR 00680-1882
Phone
(787) 265-8349
Fax
(787) 265-8349
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15706 PR Primary
General Practice Physician 208D00000X 15706 PR

Addresses

Primary practice location

Ave Condominio
Urb. Reparto Flamboyan
Mayaguez, PR 00680-1882

Mailing address

PO Box 7139
Mayaguez, PR 00681-7139
Phone (787) 298-3270

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000503 PR Practitioner - General Practice 7012922461 Reassigns benefits to 1 organization
Practice locations: Cagus, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15706PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CSM Servicios de Cuidado Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1043258098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7139",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817139",
            "telephone_number": "787-298-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CONDOMINIO",
            "address_2": "URB. REPARTO FLAMBOYAN",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801882",
            "telephone_number": "787-265-8349",
            "fax_number": "787-265-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERO PEREZ",
        "first_name": "ASTRID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "15706",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.