Active NPI
Mario Edsiquio Sanchez del Campo, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1093760522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13241
- Practice address
- Ave. Luis Munoz Marin
Urb. Mariolga
Caguas, PR 00625 - Phone
- (787) 653-3434
- NPI assigned
- May 23, 2006
- Last updated
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13241 | PR | Primary |
Addresses
Primary practice location
Ave. Luis Munoz Marin
Urb. Mariolga
Caguas, PR 00625
Mailing address
135 Les Jardins
Trujillo Alto, PR 00976-2212
Phone (787) 748-6614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9-02609A | Other | PR | BLUE SHIELD PROVIDER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Vista Hospital Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Organizations & group practices 3
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.
-
dba Red Medica Hima San Pablo
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1083636179
-
dba Nova Infusion
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1093760522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 LES JARDINS",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762212",
"telephone_number": "787-748-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. LUIS MUNOZ MARIN",
"address_2": "URB. MARIOLGA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00625",
"telephone_number": "787-653-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ DEL CAMPO",
"first_name": "MARIO",
"middle_name": "EDSIQUIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER",
"identifier": "9-02609A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Juanita M. Sanabria Ramos, PSY. D.
- Bladimir Sanchez - Perez, M.D.
- Erika Marie Sanchez Ayala, PHARMD
- Armando Sanchez Burgos, MD
- Josean Sanchez Correa, MD
- Hilda Maris Sanchez Franco, THL
- Natalie Coral Sanchez Garcia, PHD
- Jocelene Elaine Sanchez Marcano, LND, MS
- Samuel Sanchez Rivera, MD
- Delia E Sanchez Rosa, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.