Individual provider Active NPI

Cesar H Trabanco, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ponce, PR
National Provider Identifier
1104018654
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
7904 Issued in PR
Practice address
1006 Parra Medical Institute 2225 Ponce by Pass
Suite 1006
Ponce, PR 00717-1382
Phone
(787) 840-8686
Fax
(787) 840-1552
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 7904 PR Primary

Addresses

Primary practice location

1006 Parra Medical Institute 2225 Ponce by Pass
Suite 1006
Ponce, PR 00717-1382

Mailing address

PO Box 10578
Ponce, PR 00732-0578
Phone (787) 841-7168

Other identifiers 1

IdentifierTypeStateIssuer
81371OtherPRMEDICARE & SSS

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
I20050214000477 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 0345292702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 Ponce by Pass
1006 Parra Medical Plaza
Ponce, PR 00717-1382
Phone (787) 841-7168

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022
  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007904PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cesar H Trabanco de la Cruz MD PSC Endocrinology, Diabetes & Metabolism CurrentSince Jun 30, 2008 Accepting new patients
Nutrition Metabolism Education and Treatment Center Past Accepting new patients
Nutrition, Metabolism, Education and Treatment Past Accepting new patients
Nutrition Metabolism Education and Treatment Center Past Accepting new patients

Locations

2225 Ponce Byp
Ste 509
Ponce, PR 00717
Phone (787) 284-7150

2225 Ponce Byp
Ste 1006
Ponce, PR 00717
Phone (787) 841-7168

Organizations & group practices 4

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1104018654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10578",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320578",
            "telephone_number": "787-841-7168",
            "fax_number": "787-840-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 PARRA MEDICAL INSTITUTE 2225 PONCE BY PASS",
            "address_2": "SUITE 1006",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171382",
            "telephone_number": "787-840-8686",
            "fax_number": "787-840-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABANCO",
        "first_name": "CESAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE & SSS",
            "identifier": "81371",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.