Individual provider Active NPI

Joel Eduardo Perez Caban

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1144993775
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15949-I Issued in PR
Practice address
Urb. Jardines de Borinquen 53 Calle Leon
Aguadilla, PR 00603-5666
Phone
(787) 882-5922
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15949-I PR Primary

Addresses

Primary practice location

Urb. Jardines de Borinquen 53 Calle Leon
Aguadilla, PR 00603-5666

Mailing address

Urb. Jardines de Borinquen 53 Calle Leon
Aguadilla, PR 00603-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15949-IPRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1144993775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. JARDINES DE BORINQUEN 53 CALLE LEON",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. JARDINES DE BORINQUEN 53 CALLE LEON",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035666",
            "telephone_number": "787-882-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CABAN",
        "first_name": "JOEL",
        "middle_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15949-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.