Jerry Charles Charneco, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4249 Issued in PR

Practice address

63 Calle Munoz Marin
Humacao, PR 00791-3646

Phone

(787) 850-7900

Fax

(787) 850-7900

NPI assigned

Aug 19, 2006

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

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

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1073628491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 AVE MUNOZ MARIN",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-7900",
            "fax_number": "787-850-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE MUNOZ MARIN",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913646",
            "telephone_number": "787-850-7900",
            "fax_number": "787-850-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNECO",
        "first_name": "JERRY",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Psycologico de Puerto Rico Corp
• Centro Quiropractico Familiar Humacao PSC
• Centro Radiologico de Humacao, Inc.
• Centromedico Borinquen
• Centros de Prevencion Tratamiento de Enfermedades Transmisibles
• Janice Cintron Perez, DMD
• Fatima B. Cintron-Rosa, M.D.
• CJ Imaging Services, PSC
• Clinica de Oncologia Medica T Hematologica del Este
• Clinica de Servicios Medicos Y Complementarios

• Dermatology Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.