Edgardo Caban Mendez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22606 Issued in PR

Practice address

Urb. Flamboyanes #6
Carr. 115
Aguada, PR 00602

Phone

(787) 868-1515

NPI assigned

Feb 15, 2022

Last updated

Aug 5, 2024By 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

Specialty

General PracticeAlso: Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Julio Cesar Cordero PSCGroup PAC ID 4284034604, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dr Julio Cesar Cordero PSC

  • General Practice Physician
  • Aguada, PR
  • NPI 1396323598
  Medicare reassignment Care Compare group NPD
• Aguada Medical Center Inc.

  • Clinic/Center
  • Aguada, PR
  • NPI 1598057374
  Medicare reassignment NPD
• Aguada Medical Center Inc.

  • Diagnostic Radiology Physician
  • Aguada, PR
  • NPI 1174815948
  NPD
• Aguada Medical Center, Inc.

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1023300803
  NPD
• Aguada Medical Center Care Club

  • Clinic/Center
  • Aguada, PR
  • NPI 1720490998
  NPD (past)
• Melanie Acevedo Valle LLC

  • Primary Care Clinic/Center
  • Aguada, PR
  • NPI 1841858727
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1144975400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO ASOMANTE BUZON 1861",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-685-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. FLAMBOYANES #6",
            "address_2": "CARR. 115",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Socorro #62",
            "address_purpose": "LOCATION",
            "city": "Quebradillas",
            "state": "PR",
            "postal_code": "00678",
            "country_code": "US",
            "telephone_number": "787-895-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABAN MENDEZ",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "22606",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonilla Transport Services Inc.
• Mabel M. Bonilla, M.D.
• Eduardo Bosques Soto, M.D.
• Mayra Lynette Butter-Rodriguez
• C H Medival Equipment
• Karilis Caban Vargas, MD
• Brenda L Caban
• Hector Ruben Caban, M.D.
• Pedro O. Cabrera-Bonet, M.D.
• Luis Edgardo Caldero, D.M.D.

• General Practice Physician in Aguada, PR
• Providers in Aguada, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.