Individual provider Active NPI

Erick Alberto Casanova, MD

  • Internal Medicine Physician
  • Vega Baja, PR
National Provider Identifier
1326070368
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13994 Issued in PR
Practice address
34 Calle Jose Julian Acosta
Vega Baja, PR 00693-4468
Phone
(787) 858-2460
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 13994 PR Primary

Addresses

Primary practice location

34 Calle Jose Julian Acosta
Vega Baja, PR 00693-4468

Mailing address

34 Calle Jose Julian Acosta
Vega Baja, PR 00693-4468
Phone (787) 858-2460

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
I20050314000655 PR Practitioner - General Practice 3779538665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Calle Jose Julian Acosta
Vega Baja, PR 00693-4468
Phone (939) 280-5865

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jun 23, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 23, 2018 Accepting new patients
Innovative Hospitalist Medicine Care, Inc. Internal Medicine CurrentSince Mar 20, 2018 Accepting new patients
Doctors Center Hospital Bayamon Inc Past Accepting new patients
Doctors Center Hospital Inc Past Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc Past Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

34 Calle Jose Julian Acosta
Vega Baja, PR 00693
Phone (787) 858-2460

Organizations & group practices 7

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1326070368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CALLE JOSE JULIAN ACOSTA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934468",
            "telephone_number": "787-858-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE JOSE JULIAN ACOSTA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934468",
            "telephone_number": "787-858-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "ERICK",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.