Individual provider Active NPI

Ruben Carlos Banchs Seda, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1205959905
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16508 Issued in PR
Practice address
3201 Portales del Monte
Ponce, PR 00780-2033
Phone
(787) 675-1952
NPI assigned
Apr 9, 2007
Last updated
Apr 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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 16508 PR Primary

Addresses

Primary practice location

3201 Portales del Monte
Ponce, PR 00780-2033

Mailing address

3201 Portales del Monte
Ponce, PR 00780-3201
Phone (787) 675-1952

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
I20111110000427 PR Practitioner - General Practice 5991979809 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

553 Calle Ernesto Ramos Antonini
El Tuque
Ponce, PR 00728-4806
Phone (787) 675-3602

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1205959905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PORTALES DEL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007803201",
            "telephone_number": "787-675-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PORTALES DEL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007802033",
            "telephone_number": "787-675-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCHS SEDA",
        "first_name": "RUBEN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.