Edwin Coimbre Cartagona Sr., MD
Individual provider Active NPI Internal Medicine Physician · Coamo, PR
NPI 1215097258 · NPPES record last updated Mar 15, 2013
Key facts
- NPI
- 1215097258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 8370 (PR)
- Practice address
- 65 Calle Jose I Quinton # 769
Coamo, PR 00769-3105 - Phone
- (787) 825-0643
- Fax
- (787) 825-2352
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20130201000328 | PR | Practitioner - Internal Medicine | 9931353737 | Practice locations: Coamo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8370 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Gaby Med Serv Inc | Past |
Accepting new patients | |
| FRC Medical Health Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8370 | PR | Yes |
Addresses
Primary practice location
65 Calle Jose I Quinton # 769
Coamo, PR 00769-3105
Mailing address
P O Box 1865, Coamo Puerto Rico 00769
Calle Jose I Quinton, Coamo Puerto Rico 00769
Coamo, PUERTO RICO 00769
UM
Phone (787) 825-0643
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400 | Other | PMC | |
| PIN P00087211 | Other | MEDICARE RAILROAD | |
| 38675 | Other | PROSSAM | |
| 660402309 | Other | MAPFRE EXCEL | |
| 660610705 | Other | MAPFRE | |
| 7570009 | Other | HUMANA INSURANCE | |
| 0985 | Other | FIRST PLUS | |
| 1553 | Other | AMERICAN HEALTH | |
| 0985 | Other | FIRST MEDICAL INC | |
| 4361070 | Other | UIA | |
| 1109286 | Other | ACAA | |
| 660610705 | Other | MEDICARE Y MUCHO MAS | |
| 660610705 | Other | COSVIMEDCARE | |
| 0081807 | Other | TRIPLE S INC |
Other providers in Coamo, PR
- Coamo Health Institute
- Coamo Imaging Center
- Coamo Medical Transport, LLC
- Coamo Primary Healthcare Services LLC
- Coamo Primary Healthcare Services, PSC
- Ilsa M Collazo
- Maria Del Carmen Collazo Sr.
- Rosed Nicole Colon Fernandez
- Maria Victoria Colon Montalvo
- Jose Colon-Collazo
All providers in Coamo, PR · Internal Medicine 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 Mar 15, 2013. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.