Juan Antonio Cebollero, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18563 Issued in PR

Practice address

Urb Valle Verde
Calle Arboleda #955
Ponce, PR 00716-0000

Phone

(787) 601-8736

NPI assigned

Aug 13, 2013

Last updated

Aug 14, 2013By 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 1

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 Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048

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.

• Hospital Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286
  Medicare reassignment NPD
• Southern Anesthesia Associates LLC

  • Specialist
  • Ponce, PR
  • NPI 1336120153
  NPD

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

• Hospital Menonita Guayama Inc

  dba Hospital Menonita de Guayama

  • Critical Access Hospital
  • Guayama, PR
  • NPI 1639696289
  Care Compare affiliation

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1164855185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ARBOLEDA #955",
            "address_2": "URB VALLE VERDE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160000",
            "telephone_number": "787-601-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VALLE VERDE",
            "address_2": "CALLE ARBOLEDA #955",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160000",
            "telephone_number": "787-601-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBOLLERO",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio M. Cay Martinez, DC
• CDC Group Services Inc
• CDJ Medical Solutions LLC
• CDT
• Krystell Elaine Ceballos Alvarez
• Ricardo Cedeno-Rivera, MD
• Alexander Cedeno, PSY. D.
• Jeanmarie Cedeno
• Ruben Centeno
• Centro Ambulatorio de Cirugia Especializada

• General Practice Physician in Ponce, PR
• Providers in Ponce, 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 14, 2013; 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.