Individual provider Active NPI

Juan Xavier Barreras, M.D.

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1164430427
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15960 Issued in PR
Practice address
102 Carr Int KM 15.4
112 Haciendas del Golf
Cabo Rojo, PR 00623
Phone
(787) 462-4555
Fax
(787) 357-7514
NPI assigned
Aug 3, 2006
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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 15960 PR Primary

Addresses

Primary practice location

102 Carr Int KM 15.4
112 Haciendas del Golf
Cabo Rojo, PR 00623

Mailing address

138 Ave Winston Churchill
PMB 318
San Juan, PR 00926-6013
Phone (787) 462-4555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000443 PR Practitioner - General Practice 6800804824 Reassigns benefits to 1 organization
Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Urb Haciendas del Club
Cabo Rojo, PR 00623
Phone (787) 462-4555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15960PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barreras Medical Group CSP General Practice CurrentSince Jun 18, 2012 Accepting new patients

Locations

138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1164430427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 318",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-462-4555",
            "fax_number": "787-357-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CARR INT KM 15.4",
            "address_2": "112 HACIENDAS DEL GOLF",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-462-4555",
            "fax_number": "787-357-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERAS",
        "first_name": "JUAN",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.