Individual provider Active NPI

Carlos Remedios-Carbone, M.D.

  • Radiation Oncology Physician
  • Ponce, PR
National Provider Identifier
1164596771
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10236 Issued in PR
Practice address
Edif Parras # 203
Ponce, PR 00717-1321
Phone
(787) 813-4401
Fax
(787) 813-4403
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10236 PR Primary

Addresses

Primary practice location

Edif Parras # 203
Ponce, PR 00717-1321

Mailing address

PMB 140 Apartado 2000
Mercedita, PR 00715
Phone (787) 813-4401

Other identifiers 6

IdentifierTypeStateIssuer
3600009OtherPRID PROVIDER HUMANA
600705OtherPRID PROVIDER MMM
2483OtherPRID PROVIDER PREFERRED
4160-5OtherPRID PROVIDER PROSAM
82550OtherPRID PROVIDER TRIPLE S
069447OtherPRID PROVIDER CRUZ AZUL

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
I20110127000229 PR Practitioner - Radiation Oncology 6901085695 Reassigns benefits to 3 organizations
Practice locations: Humacao, PR; Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Ponce School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 Ave Font Martelo
Humacao, PR 00791-3249
Phone (787) 848-0800

55 Calle Antonio Lopez S
Humacao, PR 00791-4202
Phone (787) 719-2301

Carr 349 KM
Suite 7
Mayaguez, PR 00680
Phone (787) 652-6004

Carr 349 KM
Suite 7
Mayaguez, PR 00681-9998

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Radioterapia Avanzada del Este, PSC CurrentSince Mar 25, 2012 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc CurrentSince Sep 6, 1991 Accepting new patients
Prime Oncology Service, LLC PastSince Jun 1, 2016 Accepting new patients

Locations

55 Calle Antonio Lopez S
Humacao, PR 00791
Phone (787) 719-2300

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1164596771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 140 APARTADO 2000",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "00715",
            "telephone_number": "787-813-4401",
            "fax_number": "787-813-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF PARRAS # 203",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-813-4401",
            "fax_number": "787-813-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMEDIOS-CARBONE",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "10236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER HUMANA",
            "identifier": "3600009",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER MMM",
            "identifier": "600705",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER PREFERRED",
            "identifier": "2483",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER PROSAM",
            "identifier": "4160-5",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER TRIPLE S",
            "identifier": "82550",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID PROVIDER CRUZ AZUL",
            "identifier": "069447",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.