Individual provider Active NPI

Juan Manuel Corchado, M.D.

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1043665631
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19667 Issued in PR
Practice address
Carr 494 KM 1 He 1
Bo Arenales Altos
Isabela, PR 00662
Phone
(787) 872-6281
NPI assigned
May 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19667 PR Primary

Addresses

Primary practice location

Carr 494 KM 1 He 1
Bo Arenales Altos
Isabela, PR 00662

Mailing address

PO Box 662
Isabela, PR 00662-0662
Phone (787) 872-6281

Other practice location 1

Carr numero 2 Avenida Severiano numero 18 Cuevas
Aguadilla, PR 00605
Phone (787) 658-0000

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
I20180327001952 PR Practitioner - General Practice 8123380342 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Departamento de Salud OficialGroup PAC ID 9537170162, 11 clinicians

Practice addresses (Care Compare)

Brisas Las Marias
Calle Geminis 206
Vieques, PR 00765
Phone (787) 409-4250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19667PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Services CurrentSince Aug 13, 2019 Accepting new patients
Departamento de Salud Oficial CurrentSince Aug 21, 2018 Accepting new patients
Departamento de Salud Oficial CurrentSince Aug 21, 2018 Accepting new patients

Locations

4 Calle Dr Defendini
Adjuntas, PR 00601
Phone (787) 829-2040

Organizations & group practices 3

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1043665631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620662",
            "telephone_number": "787-872-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 494 KM 1 HE 1",
            "address_2": "BO ARENALES ALTOS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-6281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr numero 2 Avenida Severiano numero 18 Cuevas",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00605",
            "country_code": "US",
            "telephone_number": "787-658-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORCHADO",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.