Individual provider Active NPI

Heriberto Casanova, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1275829459
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12855-I Issued in PR
Practice address
300 Calle Georgetown
San Juan, PR 00927-4018
Phone
(305) 772-5550
NPI assigned
Jun 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12855-I PR Primary

Addresses

Primary practice location

300 Calle Georgetown
San Juan, PR 00927-4018

Mailing address

300 Calle Georgetown
San Juan, PR 00927-4018
Phone (305) 772-5550

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
I20161019000611 PR Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Surgical OncologyPractitioner - Gynecological Oncology 5193013407 Reassigns benefits to 2 organizations
Practice locations: Carolina, PR; Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12855-IPRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Sep 25, 2016 Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Sep 25, 2016 Accepting new patients
HCR Surgical P.S.C. Surgery CurrentSince Apr 1, 2023 Accepting new patients
Doctors Center Hospital Carolina LLC Past Accepting new patients

Locations

80100 Calle Fernandez Juncos
#T
Carolina, PR 00985
Phone (787) 631-3322

Interoperability endpoints

  • Direct secure messaging: heriberto.casanova@2621.securemail.prognocis.com

Organizations & group practices 4

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Gynecological Oncology, Surgical Oncology, Thoracic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80100 Calle Fernandez Juncos
Edif. Jesus T Pinero
Carolina, PR 00985-6179
Phone (787) 631-3322

Hospital & facility affiliations

  • Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132
  • Hospital Episcopal San Lucas Metro Hospital, San Juan, PR, CCN 400139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308960000000",
    "number": "1275829459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CALLE GEORGETOWN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274018",
            "telephone_number": "305-772-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CALLE GEORGETOWN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274018",
            "telephone_number": "305-772-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "HERIBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-25",
        "last_updated": "2011-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12855-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.