Victor Luis Carlo, M.D.
Individual provider Active NPI Gastroenterology Physician · San Juan, PR
NPI 1104968676 · NPPES record last updated Apr 16, 2013
Key facts
- NPI
- 1104968676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 14,852 (PR)
- Practice address
- Torre Medica Auxilio Mutuo Suite 816
Ave. Ponce de Leon Num. 735
San Juan, PR 00918 - Phone
- (787) 763-1025
- Fax
- (787) 250-1928
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Ponce School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mennonite General Hospital Inc
Recinto de Ciencias Medicas
Practice addresses (Care Compare)
Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700
Suite 200 Centro Comercial Reparto
Ave Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910
Hospital & facility affiliations
- Hospital Universitario de Adulto
- Hospital Menonita de Aibonito
- Centro Cardiovascular de Puerto Rico Y El Caribe
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050730000055 | PR | Practitioner - Gastroenterology |
5991733008 |
Reassigns benefits to 3 organizations Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14,852 | PR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current |
Accepting new patients | |
| Recinto de Ciencias Medicas | Gastroenterology | Current |
Accepting new patients |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current |
Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current |
Accepting new patients | |
| Departamento de Salud Oficial | Past | Accepting new patients |
Locations
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
Interoperability endpoints
- victor.carlo.p1@direct.vitacare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 14,852 | PR | Yes |
Addresses
Primary practice location
Torre Medica Auxilio Mutuo Suite 816
Ave. Ponce de Leon Num. 735
San Juan, PR 00918
Mailing address
Torre Medica Auxilio Mutuo Suite 816
Ave. Ponce de Leon Num. 735
San Juan, PR 00918
Phone (787) 763-1025
Other providers in San Juan, PR
- Jose Rafael Carlo-Izquierdo
- Anibal Carlo
- Edna Jolie Carlo
- Ivette Carlo
- Jose E Carlo
- Carlos a. Falcon
- Carlos Acosta, PSC
- Carlos Albizu University
- Carlos Albizu University
- Carlos Alcala
All providers in San Juan, PR · Gastroenterology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.