Individual provider Active NPI

Carlos Rached Richa, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1215680509
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023121 Issued in PR
Practice address
68 Calle Santa Cruz Ste 504
Bayamon, PR 00961-7035
Phone
(787) 639-2327
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 827 PR
General Practice Physician 208D00000X 023121 PR Primary

Addresses

Primary practice location

68 Calle Santa Cruz Ste 504
Bayamon, PR 00961-7035

Mailing address

68 Calle Santa Cruz Ste 504
Bayamon, PR 00961-7035
Phone (787) 639-2327

Other practice location 1

Edif Job Andujar
Carr 5 KM 2.8
Catano, PR 00962
Phone (787) 788-0404

Other identifiers 2

IdentifierTypeStateIssuer
039422500MedicaidPR
23121OtherPRPR MEDICAL LICENSURE BOARD

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
I20230511002990 PR Practitioner - General Practice 3173989415 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Specialized Care LLCGroup PAC ID 6507122967, 19 clinicians

Practice addresses (Care Compare)

68 Calle Santa Cruz
Suite 504
Bayamon, PR 00961-7035
Phone (787) 225-7416

Avenida Juan Ponce de Leon Parada
37 Hospital Auxilio Mutuo
Hato Rey, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
827PRMDChiropractor
023121PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CDT GMSP, Inc Current Accepting new patients
Clinica Integrativa de Medicina Y Acupuntura LLC CurrentSince Apr 6, 2025 Accepting new patients
Physician Services Group LLC PS Group General Practice CurrentSince Feb 15, 2025 Accepting new patients
CDT G.M,S.P., Inc General Practice CurrentSince Nov 18, 2023 Accepting new patients
ER Specialized Care LLC CurrentSince Jan 8, 2024 Accepting new patients
CDT GMSP Inc CurrentSince Nov 18, 2023 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

68 Calle Santa Cruz
Ste 504
Bayamon, PR 00961
Phone (787) 225-7416

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1215680509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 504",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-639-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 504",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-639-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edif Job Andujar",
            "address_2": "Carr 5 KM 2.8",
            "address_purpose": "LOCATION",
            "city": "Catano",
            "state": "PR",
            "postal_code": "00962",
            "country_code": "US",
            "telephone_number": "787-788-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHED RICHA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "827",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039422500",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSURE BOARD",
            "identifier": "23121",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.