Robert William Axtmayer Carcache, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

36513 Issued in PR

Practice address

Carr 368 KM 1.0 Int
Barrio Machuchal
Sabana Grande, PR 00637

Phone

(787) 361-7751

NPI assigned

Jan 28, 2019

Last updated

Sep 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Axtmayer MD LLC

  • Emergency Medicine Physician
  • Cayey, PR
  • NPI 1144058637
  Authorized official Same address or phone
• Sos Acute Care LLC

  • Emergency Medicine Physician
  • Caguas, PR
  • NPI 1679301931
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1114481793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-361-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 368 KM 1.0 INT",
            "address_2": "BARRIO MACHUCHAL",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-361-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTMAYER CARCACHE",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-09-23",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "36513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aitana Ponce LLC
• Alfredo Alicea
• Carla Patricia Almodovar Jusino, RN
• Edwin B. Antommattei, MD
• Aura Med Services LLC
• Robert William Axtmayer, MD
• Jorge Luis Ayala-Colon, M.D.
• Stephanie Ayala, RN
• Edgardo Isaac Baez Ayala, M.D.
• Gustavo Alejandro Baez Munoz

• Emergency Medicine Physician in Sabana Grande, PR
• Providers in Sabana Grande, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; 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.

Verify at the official NPI Registry.