Individual provider Active NPI

Carmen Chinchilla, MD

  • Hospitalist Physician
  • Manati, PR
National Provider Identifier
1194772798
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
9982 Issued in PR
Practice address
700 Castuas
Edif Juan Burgos Calle 2 KM 45 HM 2
Manati, PR 00674
Phone
(787) 641-0774
Fax
(787) 641-2759
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 9982 PR Primary

Addresses

Primary practice location

700 Castuas
Edif Juan Burgos Calle 2 KM 45 HM 2
Manati, PR 00674

Mailing address

PO Box 71474
Aps Clinic of PR Inc
San Juan, PR 00936-8574
Phone (787) 641-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9982PRMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Past Accepting new patients
Aps Clinics of Puerto Rico, Inc. Psychiatry Past Accepting new patients

Organizations & group practices 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1194772798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71474",
            "address_2": "APS CLINIC OF PR INC",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368574",
            "telephone_number": "787-641-0774",
            "fax_number": "787-641-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CASTUAS",
            "address_2": "EDIF JUAN BURGOS CALLE 2 KM 45 HM 2",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-641-0774",
            "fax_number": "787-641-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHILLA",
        "first_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "9982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.