Individual provider Active NPI

Jose Luis Elias, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1184708000
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15116 Issued in PR
Practice address
Ext. Marbella Calle 4 Casa # 348
Aguadilla, PR 00603-5743
Phone
(787) 460-8333
Fax
(787) 882-0730
NPI assigned
Oct 25, 2006
Last updated
Aug 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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 15116 PR Primary

Addresses

Primary practice location

Ext. Marbella Calle 4 Casa # 348
Aguadilla, PR 00603-5743

Mailing address

Ext. Marbella Calle 4 Casa # 348
Aguadilla, PR 00603-5743
Phone (787) 460-8333

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
I20051205000528 PR Practitioner - General Practice 8527088624 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Home Psychiatric Service Corp CurrentSince Apr 11, 2025 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Jan 10, 2023 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Jan 10, 2023 Accepting new patients
The Balance Clinic LLC PastSince Sep 15, 2024 Accepting new patients
Clinica Estabilizadora de Salud Mental de Aguadilla Inc PastSince May 3, 2009 Accepting new patients

Locations

222 Calle Marina
Aguada, PR 00602
Phone (787) 202-6967

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1184708000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT. MARBELLA CALLE 4 CASA # 348",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035743",
            "telephone_number": "787-460-8333",
            "fax_number": "787-882-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT. MARBELLA CALLE 4 CASA # 348",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035743",
            "telephone_number": "787-460-8333",
            "fax_number": "787-882-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.