Carlos Manuel Tejeda, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

13092 Issued in PR

Practice address

Ave. General Valero 410
Torre San Pablo del Este Suite 205
Fajardo, PR 00738

Phone

(787) 655-4060

Fax

(787) 801-0505

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Hematology/Oncology

Education

University of Puerto Rico School of Medicine, 1994

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

Locations

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.

• Servicios de Hematologia Y Oncologia del Este, C.S.P.

  • Oncology Clinic/Center
  • Fajardo, PR
  • NPI 1821436312
  Medicare reassignment NPD Authorized official
• Servicios de Hematologia Y Oncologia del Este

  • Oncology Clinic/Center
  • Fajardo, PR
  • NPI 1831456425
  NPD (past) Authorized official
• Centro de Hematologia Y Oncologia del Este

  • Oncology Clinic/Center
  • Fajardo, PR
  • NPI 1093933434
  NPD (past)
• Centro de Hematologia Y Oncologia del Este CSP

  • Oncology Clinic/Center
  • Fajardo, PR
  • NPI 1093776130
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366574725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3374",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703374",
            "telephone_number": "787-655-4060",
            "fax_number": "787-801-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. GENERAL VALERO 410",
            "address_2": "TORRE SAN PABLO DEL ESTE SUITE 205",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-4060",
            "fax_number": "787-801-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "13092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Ralphs Medical Group
• Heidy Marie Suarez de Jesus
• Sunrise Medical Services LLC
• Super Farmacia Libertad Inc.
• Super Farmacia Libertad Inc.
• Gerardo Tejedor Gonzalez, MD
• Amarilys Tiburcio, PHARMD
• Tienda de Zapatos Pie Divino
• To Go Pharmacy & Medical Supply LLC
• Toro Especialistas En Ortodoncia, CSP

• Hematology & Oncology Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.