Roberto Manuel Caban Addarich Sr.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95237 Issued in PR

Practice address

Urb. Parque de Candelero 53
Calle Doncella
Humacao, PR 00791

Phone

(787) 914-4136

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1114697018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PARQUE DE CANDELERO 53",
            "address_2": "CALLE DONCELLA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-914-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PARQUE DE CANDELERO 53",
            "address_2": "CALLE DONCELLA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-914-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "VA Caribbean Healthcare System 10 Casia Street",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00921",
            "country_code": "US",
            "telephone_number": "787-641-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABAN ADDARICH",
        "first_name": "ROBERTO",
        "middle_name": "MANUEL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "95237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Beltran Burgos, MSW
• Jose A Burgos
• Joselyn Burgos
• Myriam Burgos
• Maria De Lourdes Buso, MSW
• Tyfannie Cabrera Ramos
• Kydian Cabrera, LND
• Aleida Caceres, M.A.
• Janice Calderon-Cruz, PSYD
• Amalyn Calderon

• All providers in Humacao, PR
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.