NPIMap

Individual provider Active NPI

Carlos Fernandez Sifre, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1306876867
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7387 Issued in PR
Practice address
400 Roosevelt Ave.
Suite 408 Clinica Las Americas
San Juan, PR 00918
Phone
(787) 751-8739
Fax
(787) 751-8739
NPI assigned
Jul 3, 2006
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7387 PR Primary

Addresses

Primary practice location

400 Roosevelt Ave.
Suite 408 Clinica Las Americas
San Juan, PR 00918

Mailing address

400 Roosevelt Ave
Suite 408 Clinica Las Americas
San Juan, PR 00918
Phone (787) 751-8739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000705 PR Practitioner - Internal Medicine 3577640580 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2014 Accepting new patients
Servicios Medicos Universitarios Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: uprcfs@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital de la Universidad de Puerto Rico, Dr. Federico TrillaCarolina, PR, CCN 400112 Hospital Corporate Director
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)		 Sep 17, 2013
Sep 18, 2013
Sep 18, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1306876867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROOSEVELT AVE",
            "address_2": "SUITE 408 CLINICA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-8739",
            "fax_number": "787-751-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROOSEVELT AVE.",
            "address_2": "SUITE 408 CLINICA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-8739",
            "fax_number": "787-751-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SIFRE",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.