Active NPI
Bernadette Montes-Carrillo, MD-GENERAL PRACTICE
- General Practice Physician
- San Juan, PR
National Provider Identifier
1124203955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16976
- Practice address
- 30 Ave Teresa Jornet Suite 114
Galeria Pacifico
San Juan, PR 00926 - Phone
- (787) 665-0450
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16976 | PR | Primary |
Addresses
Primary practice location
30 Ave Teresa Jornet Suite 114
Galeria Pacifico
San Juan, PR 00926
Mailing address
224 Calle Tropical
Urb. Montehiedra
San Juan, PR 00926
Phone (787) 312-5554
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrate Community Health System | Current | Accepting new patients | |
| Metro Pavia Healthcare Center | General Practice | Current | Accepting new patients |
| Integrate Community Health System, Inc. | Current | Accepting new patients | |
| Metro Pavia Healthcare Centers Inc | Current | Accepting new patients | |
| Metro Pavia Healthcare Center | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Hyde Park Medical Group PSC | Past | Accepting new patients | |
| Atencion Medica Inmediata | Past | Accepting new patients |
Locations
D10 Calle 2
Bayamon, PR 00957
426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801
Organizations & group practices 9
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.
-
- Community Health Clinic/Center
- Humacao, PR
- NPI 1467674713
-
- Radiology Clinic/Center
- Arecibo, PR
- NPI 1760723696
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1225084882
-
- Emergency Care Clinic/Center
- Bayamon, PR
- NPI 1316169873
-
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1821502519
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1841694072
-
- General Practice Physician
- Jacksonville, FL
- NPI 1962807503
-
- Radiology Clinic/Center
- Caguas, PR
- NPI 1295104156
-
- Primary Care Clinic/Center
- San Juan, PR
- NPI 1841432143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1124203955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CALLE TROPICAL",
"address_2": "URB. MONTEHIEDRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-312-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AVE TERESA JORNET SUITE 114",
"address_2": "GALERIA PACIFICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-665-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES-CARRILLO",
"first_name": "BERNADETTE",
"name_prefix": "Mrs.",
"credential": "MD-GENERAL PRACTICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.