Individual provider Active NPI

Carlos M Borrero Rios, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1336210814
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15604 Issued in PR
Practice address
16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301
Phone
(939) 544-5520
Fax
(939) 544-5048
NPI assigned
Nov 13, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15604 PR Primary

Addresses

Primary practice location

16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301

Mailing address

PO Box 140275
Arecibo, PR 00614-0275
Phone (939) 544-5520

Other practice location 1

Pavia Hospital Arecibo
Carretera 129 Km 1.0 Ave San Luis
Arecibo, PR 00612
Phone (787) 878-7726

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
I20061205000519 PR Practitioner - General Practice 6507865334 Reassigns benefits to 2 organizations
Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301
Phone (939) 544-5520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15604PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Borrero Health Services LLC CurrentSince Mar 21, 2024 Accepting new patients
Policlinica de Familia Factor Inc Past Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients
Psicologia Integral Clinica Forense Dra. Norma Gomez Soto CSP PastSince Dec 10, 2023 Accepting new patients

Locations

16 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone (787) 879-1962

Organizations & group practices 5

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 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1336210814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140275",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140275",
            "telephone_number": "939-544-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE ANA LENS DE SUSONI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124301",
            "telephone_number": "939-544-5520",
            "fax_number": "939-544-5048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pavia Hospital Arecibo",
            "address_2": "Carretera 129 Km 1.0 Ave San Luis",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00612",
            "country_code": "US",
            "telephone_number": "787-878-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRERO RIOS",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.