Individual provider Active NPI

Carlos M Cidre Sr., MD

  • Internal Medicine Physician
  • Manati, PR
National Provider Identifier
1104896539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7775 Issued in PR
Practice address
Urb Atenas
Elliot Velez B41
Manati, PR 00674
Phone
(787) 884-3139
Fax
(787) 854-3870
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X 7775 PR Primary

Addresses

Primary practice location

Urb Atenas
Elliot Velez B41
Manati, PR 00674

Mailing address

PO Box 849
Manati, PR 00674
Phone (787) 884-3139

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
I20110208000236 PR Practitioner - Internal Medicine 3779763826 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gemi PSCGroup PAC ID 0345568820, 9 clinicians

Practice addresses (Care Compare)

B41 Calle Elliot Velez
Manati, PR 00674-4615
Phone (787) 621-4364

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530
  • Hospicio Gregoria Auffant Inc Hospice, San Juan, PR, CCN 401529
  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gemipsc Internal Medicine CurrentSince Mar 15, 2015 Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104896539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-3139",
            "fax_number": "787-854-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ATENAS",
            "address_2": "ELLIOT VELEZ B41",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-3139",
            "fax_number": "787-854-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIDRE",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.