Organization Active NPI

Innovative Hospitalist Medicine Care, Inc.

  • Internal Medicine Physician
  • Vega Baja, PR
National Provider Identifier
1366935660
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INNOVATIVE HOSPITALIST MEDICINE CARE, INC.
Practice address
34 Calle Jose Julian Acosta
Vega Baja, PR 00693-4468
Phone
(787) 858-2460
Fax
(787) 858-2460
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Erick Alberto Casanova, MDNPI 1326070368
Title
President
Phone
(939) 280-5865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415001340 PR Part B Supplier - Clinic/Group Practice 6305187675 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1366935660",
    "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",
            "fax_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",
            "fax_number": "787-858-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOSPITALIST MEDICINE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-280-5865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.