Individual provider Active NPI

Osvaldo Caro

  • Psychiatry Physician
  • Caguas, PR
National Provider Identifier
1063591592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11170 Issued in PR
Practice address
305 Quadrangle Medical Center
Ave Luis Munoz Marin 50
Caguas, PR 00725
Phone
(787) 744-0857
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11170 PR Primary

Addresses

Primary practice location

305 Quadrangle Medical Center
Ave Luis Munoz Marin 50
Caguas, PR 00725

Mailing address

305 Quadrangle Medical Center
Ave Luis Munoz Marin 50
Caguas, PR 00725
Phone (787) 744-0857

Other identifiers 1

IdentifierTypeStateIssuer
11170OtherPRSTATE LICENSE

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
I20150415001907 PR Practitioner - Psychiatry 4981922390 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11170PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince Nov 20, 2016 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Nov 20, 2016 Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients
Dr. Jorge R. Matta Gonzalez CSP Past Accepting new patients
First Hospital Panamericano, Inc. Past Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients

Organizations & group practices 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063591592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 QUADRANGLE MEDICAL CENTER",
            "address_2": "AVE LUIS MUNOZ MARIN 50",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 QUADRANGLE MEDICAL CENTER",
            "address_2": "AVE LUIS MUNOZ MARIN 50",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO",
        "first_name": "OSVALDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11170",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.