Thaer Abukhalil

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

134514 Issued in FL

Practice address

Ave. 65 de Infanteria, Carr. 3, KM 8.3
Hospital de la Upr Federico Trilla
Carolina, PR 00987

Phone

(787) 757-1800

NPI assigned

Jun 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1174905798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. 65 DE INFANTERIA, CARR. 3, KM 8.3",
            "address_2": "HOSPITAL DE LA UPR FEDERICO TRILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-757-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. 65 DE INFANTERIA, CARR. 3, KM 8.3",
            "address_2": "HOSPITAL DE LA UPR FEDERICO TRILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKHALIL",
        "first_name": "THAER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "134514",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "13775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Abreu Pina, DDS
• Caren Nozomi Abreu Takemura, MD
• Jose Ramon Abreu Valentino, LMT, LPT, MBA
• Accountable Care Group of Puerto Rico LLC
• Sara G Acevedo Armaiz, MD
• Maritza Acevedo Cuevas
• Nelvin Acevedo-Valle, MD
• Luz M Acevedo-Vargas, MD

• Emergency Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.