Active NPI
Mauricio Ehlert-Birriel, M.D.
- General Practice Physician
- Hato Rey, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18594
- Practice address
- Hospital Auxilio Mutuo
Ave. Ponce de Leon
Hato Rey, PR 00918 - Phone
- (787) 758-2000
- NPI assigned
- Oct 16, 2012
- Last updated
- Aug 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 30927 | NE | |
| General Practice Physician | 208D00000X | 18594 | PR | Primary |
Addresses
Primary practice location
Hospital Auxilio Mutuo
Ave. Ponce de Leon
Hato Rey, PR 00918
Mailing address
2000 Ave Dona Felisa Rincon de Apt 308
Cond Colina Real
San Juan, PR 00926-6645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18594 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Great Plains Tribal Chairmen's Health Board | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients |
Locations
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
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.
-
dba Oyate Health Center
- Pharmacy
- Rapid City, SD
- NPI 1376105452
TX
-
dba Kayenta Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Kayenta, AZ
- NPI 1285750125
-
dba Inscription House Health Center
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Monument Health Home Plus Home Health
- Home Health Agency
- Rapid City, SD
- NPI 1477003077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1366795379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 AVE DONA FELISA RINCON DE APT 308",
"address_2": "COND COLINA REAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL AUXILIO MUTUO",
"address_2": "AVE. PONCE DE LEON",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLERT-BIRRIEL",
"first_name": "MAURICIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "30927",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.