Individual provider Active NPI

Conrado W Asenjo, MD

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1104835073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11874 Issued in PR
Practice address
369 De Diego Ave.
Torre San Francisco Suite 602
San Juan, PR 00923-3005
Phone
(787) 754-5091
Fax
(787) 753-1783
NPI assigned
Aug 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11874 PR Primary

Addresses

Primary practice location

369 De Diego Ave.
Torre San Francisco Suite 602
San Juan, PR 00923-3005

Mailing address

89 Ave de Diego
Suite 105 PMB-407
San Juan, PR 00927-6372
Phone (787) 754-5091

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
I20120821000151 PR Practitioner - Gastroenterology 7416104864 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Plaza Carolina Mall
Suite 304
San Juan, PR 00983
Phone (787) 752-1075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy403
Upper gastrointestinal (GI) endoscopy for acid reflux171
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Past Accepting new patients

Organizations & group practices 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104835073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 AVE DE DIEGO",
            "address_2": "SUITE 105 PMB-407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276372",
            "telephone_number": "787-754-5091",
            "fax_number": "787-753-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 DE DIEGO AVE.",
            "address_2": "TORRE SAN FRANCISCO SUITE 602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233005",
            "telephone_number": "787-754-5091",
            "fax_number": "787-753-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASENJO",
        "first_name": "CONRADO",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "11874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.