Individual provider Active NPI

Alexander De la Rosa Cabral, MD

  • Physical Medicine & Rehabilitation Physician
  • Arecibo, PR
National Provider Identifier
1083243638
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23709 Issued in PR
Practice address
Urb Ciudad Atlantis F2
Arecibo, PR 00612
Phone
(787) 614-6057
NPI assigned
Apr 6, 2020
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 23709 PR Primary

Addresses

Primary practice location

Urb Ciudad Atlantis F2
Arecibo, PR 00612

Mailing address

PO Box 140721
Arecibo, PR 00614-0721
Phone (787) 614-6057

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
I20240715004311 PR Practitioner - Physical Medicine and Rehabilitation 8921543877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Sports and Pain Interventions, PSCGroup PAC ID 6406165802, 11 clinicians

Practice addresses (Care Compare)

Villa del Rey 2Da Sec Ave Luis Munoz
Esq Carlo Magno 2F6
Caguas, PR 00725
Phone (787) 704-0075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23709PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Pain Interventions PSC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Xcel Rehabilitation Single Specialty Past Accepting new patients

Locations

2 Ave Luis Munoz Marin
#2
Caguas, PR 00725

M13 Calle 18
Caguas, PR 00725
Phone (787) 745-4355

117 Calle Font Martelo W
Humacao, PR 00791
Phone (787) 460-4671

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1083243638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140721",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140721",
            "telephone_number": "787-614-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB CIUDAD ATLANTIS F2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-614-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA CABRAL",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "23709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.