Active NPI
Carmen Chinchilla, MD
- Hospitalist Physician
- Manati, PR
National Provider Identifier
1194772798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 9982
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9982 | PR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1336194448
Psychiatry
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1184139602
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.