Individual provider Active NPI

Thomas A. Balcazar Cahues, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1235487950
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18515 Issued in PR
Practice address
Los Colobos Park
143 Calle Almendro
Carolina, PR 00987-0000
Phone
(787) 637-3518
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 18515 PR Primary

Addresses

Primary practice location

Los Colobos Park
143 Calle Almendro
Carolina, PR 00987-0000

Mailing address

Los Colobos Park
143 Calle Almendro
Carolina, PR 00987-2202

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
I20130325000397 PR Practitioner - General Practice 4688819568 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Healing Corp. CurrentSince Jul 14, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1235487950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOS COLOBOS PARK",
            "address_2": "143 CALLE ALMENDRO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009872202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOS COLOBOS PARK",
            "address_2": "143 CALLE ALMENDRO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009870000",
            "telephone_number": "787-637-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCAZAR CAHUES",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.