Francisco A Berio Roussel, M.D.
Individual provider Active NPI General Practice Physician · Corozal, PR
NPI 1194833103 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1194833103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 16502 (PR)
- Practice address
- 25 Calle Las Mercedes
Corozal, PR 00783-1924 - Phone
- (787) 859-7404
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 Calle Las Mercedes
Corozal, PR 00783-2111
Phone (787) 459-7404
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061117000299 | PR | Practitioner - General Practice | 6608874151 | Practice locations: Corozal, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16502 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Medical Care CSP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16502 | PR | Yes |
Addresses
Primary practice location
25 Calle Las Mercedes
Corozal, PR 00783-1924
Mailing address
25 Calle Las Mercedes
Corozal, PR 00783-1924
Phone (787) 859-7404
Other providers in Corozal, PR
- Amaryllis Aymat-Rodriguez
- Elan Rayan Baez Sanchez
- Benigno Baez
- Daled Bahri
- Francisco Berio Ramos
- Juan E Berrios
- Lourdes Jeannette Berrios I
- Domingo Betances Santos
- Blablao LLC
- Jennifer Blas
All providers in Corozal, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.