Pedro Alejandro Canuelas Echevarria
Individual provider Active NPI Internal Medicine Physician · Penuelas, PR
NPI 1053920967 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1053920967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 23075 (PR)
- Practice address
- Calle Munoz Rivera 913B
Penuelas, PR 00624 - Phone
- (787) 836-7446
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122003364 | PR | Practitioner - Internal Medicine | 0941658322 | Practice locations: Penuelas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital de la Concepcion Inc | Past | Accepting new patients | |
| Ayala Troche, MD, C.S.P. | Past |
Accepting new patients | |
| Yauco Healthcare Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23075 | PR | Yes |
Addresses
Primary practice location
Calle Munoz Rivera 913B
Penuelas, PR 00624
Mailing address
PO Box 224
Penuelas, PR 00624-0224
Phone (787) 836-7446
Other providers in Penuelas, PR
- Johanna Arzola
- Mary Liz Baez Rodriguez
- Jessica Calderon
- Ruth Caliz Lopez
- Luis Oscar Camacho
- Ivannys Alexka Cappas Perez
- Yarelis Caquias
- Eimaelis Caraballo Martinez
- Jose H Carrasquillo Sr.
- Neftali Castro de Jesus
All providers in Penuelas, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.