Active NPI
Francisco R Carballo Duran, M.D.
- Internal Medicine Physician
- Humacao, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8260
- Practice address
- 13 Calle Flor Gerena N
Humacao, PR 00791-4288 - Phone
- (787) 518-0104
- NPI assigned
- Mar 8, 2006
- Last updated
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8260 | PR | Primary |
Addresses
Primary practice location
13 Calle Flor Gerena N
Humacao, PR 00791-4288
Mailing address
185 Candelero Dr Apt 608
Fairlakes Village
Humacao, PR 00791-6133
Phone (787) 518-0104
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9110030 | Other | PR | HUMANA |
| 212353 | Other | PR | PREFERRED HEALTH |
| 80952-CA | Other | PR | TRIPLE S |
| P070 | Other | PR | FIRST MEDICAL |
| 11-1015-2 | Other | PR | ACAA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Calle Flor Gerena 13 Norte
Humacao, PR 00791-4288
Phone (787) 518-0104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8260 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Im Precision Medical Group PSC | Internal Medicine | Past | Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731
3 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 656-2427
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Red Medica Hima San Pablo
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
-
- Internal Medicine Physician
- Humacao, PR
- NPI 1568430585
-
dba Nova Infusion
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Internal Medicine Physician
- Humacao, PR
- NPI 1083057442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1174591093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CANDELERO DR APT 608",
"address_2": "FAIRLAKES VILLAGE",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916133",
"telephone_number": "787-518-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CALLE FLOR GERENA N",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914288",
"telephone_number": "787-518-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBALLO DURAN",
"first_name": "FRANCISCO",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "8260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9110030",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "212353",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "80952-CA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "P070",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "11-1015-2",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.