Individual provider Active NPI

Francisco Carlos Cebollero, M.D.

  • Gastroenterology Physician
  • Mayaguez, PR
National Provider Identifier
1073674271
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12853 Issued in PR
Practice address
55 E., de Diego St., C.P.R. Professional BLDG.
Suite 104
Mayaguez, PR 00680
Phone
(787) 265-4250
Fax
(787) 265-4290
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12853 PR Primary

Addresses

Primary practice location

55 E., de Diego St., C.P.R. Professional BLDG.
Suite 104
Mayaguez, PR 00680

Mailing address

55 E., de Diego St., C.P.R. Professional BLDG.
Suite 104
Mayaguez, PR 00680
Phone (787) 265-4250

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
I20100115000538 PR Practitioner - Gastroenterology 5092857961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 E de Diego St
Suite 104
Mayaguez, PR 00680-5079
Phone (787) 265-4250

Hospital & facility affiliations

  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103
  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy121
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12853PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterologia Avanzada del Caribe,C.S.P. Gastroenterology CurrentSince Nov 29, 2009 Accepting new patients
Centro de Endoscopia Avanzada del Caribe Inc. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1073674271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E., DE DIEGO ST., C.P.R. PROFESSIONAL BLDG.",
            "address_2": "SUITE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-4250",
            "fax_number": "787-265-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E., DE DIEGO ST., C.P.R. PROFESSIONAL BLDG.",
            "address_2": "SUITE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-4250",
            "fax_number": "787-265-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBOLLERO",
        "first_name": "FRANCISCO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.