Active NPI
Heriberto Casanova, M.D.
- Surgery Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12855-I
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000611 | PR | Practitioner - General Surgery | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12855-I | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medical Services, PSC | Current | Accepting new patients | |
| Hospitalist Medical Services, PSC | Current | Accepting new patients | |
| HCR Surgical P.S.C. | Surgery | Current | 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
- 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Manati, PR
- NPI 1356639546
-
- General Acute Care Hospital
- Carolina, PR
- NPI 1255736187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carolina, PR
- NPI 1255736187
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General 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 Episcopal San Lucas Metro
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.