Carlos M Portocarrero, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

7614 Issued in PR

Practice address

169 Calle San Jorge
San Juan, PR 00911-2054

Phone

(787) 723-1234

Fax

(787) 289-5544

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sjccportoc@yourcarecommunity.org

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1043345499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009112054",
            "telephone_number": "787-723-1234",
            "fax_number": "787-289-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009112054",
            "telephone_number": "787-723-1234",
            "fax_number": "787-289-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTOCARRERO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "7614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "80394",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon M Portela, MD
• Rosaliz M Portela, MD
• Yvette Portell, PHD
• Peter Portilla, M.D.
• Silvia Portillo, RN.
• Antonio C Pou Martinez, M.D.,F.A.C.O.G.
• Juan Jose Poueriet Cedeno, MD
• Jonathan Poueriet, RRNA
• Tatiana C Poueriet, MD
• Paola Poullet, AU.D.

• Plastic Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Plastic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.