Carlos A Buxo Tirado, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

14329 Issued in PR

Practice address

Y38 Boulevard Monroig
Cuarta Seccion Levittown
Toa Baja, PR 00949

Phone

(787) 200-0324

Fax

(787) 200-0325

NPI assigned

Jun 23, 2006

Last updated

May 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology, Pain Management

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gipecd Medical Services, LLC

  • Specialist
  • Toa Baja, PR
  • NPI 1932317740
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1285660373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51519",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501519",
            "telephone_number": "787-200-0324",
            "fax_number": "787-200-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Y38 BOULEVARD MONROIG",
            "address_2": "CUARTA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-200-0324",
            "fax_number": "787-200-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXO TIRADO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "14329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boulevard Dental Center
• Boulevard Health Care Program
• Boulevard Visual Clinic
• Patria J. Brazoban
• Ruth Nydia Burgos
• Yamil Angel Caceres, LND,CND
• Denise Rosario Camacho Rodriguez I, M.D
• Diana I Camacho, PSY.D.
• Erika Leah Candelaria, MS SPL
• Yaritza Caraballo Olivo

• Pain Medicine (Anesthesiology) Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Pain Medicine (Anesthesiology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.

Verify at the official NPI Registry.