Active NPI
Carlos Manuel Declet Larrinaga, MD
- Medical Physician Assistant
- Adjuntas, PR
National Provider Identifier
1336831965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1669-P.A.
- Practice address
- 20 Calle Rius Rivera
Adjuntas, PR 00601-2337 - Phone
- (787) 702-3500
- NPI assigned
- May 23, 2023
- Last updated
- May 23, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1669-P.A. | PR | Primary |
Addresses
Primary practice location
20 Calle Rius Rivera
Adjuntas, PR 00601-2337
Mailing address
20 Calle Rius Rivera
Adjuntas, PR 00601-2337
Phone (787) 702-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1669-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1336831965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CALLE RIUS RIVERA",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006012337",
"telephone_number": "787-702-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CALLE RIUS RIVERA",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006012337",
"telephone_number": "787-702-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECLET LARRINAGA",
"first_name": "CARLOS",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "1669-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adjuntas, PR
- Alberto Manuel Colon-Alvarado, M.D.
- Corporacion Adjuntena de la Salud
- Corporacion de Servicios de Salud de Adjuntas Inc (Servicios de Hospicio de Adjuntas)
- Alben Eli Cuevas Gonzalez, MD
- Amanda Paola De Jesus-Marrero
- Antonio Declet Manzanet, MD
- Departamento de Salud Oficial (Centro de Salud Familar de Adjuntas)
- Diagnostic Imaging& Radiology Services, PSC (Alberto M. Colon-Alvarado, MD)
- Cydmarie Duran Pagan
- Equilibrio, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.