Individual provider Active NPI

Victor Reyes Cabeza Sr., M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1376545087
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8809 Issued in PR
Practice address
1913 Ave Las Americas
Urb San Antonio
Ponce, PR 00728-1815
Phone
(787) 842-8945
Fax
(787) 842-8945
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 8809 PR Primary

Addresses

Primary practice location

1913 Ave Las Americas
Urb San Antonio
Ponce, PR 00728-1815

Mailing address

1913 Ave Las Americas
Urb San Antonio
Ponce, PR 00728-1815
Phone (787) 842-8945

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
I20050922000144 PR Practitioner - General Practice 7416981105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Policlinica Las Americas Medical Center, Inc.Group PAC ID 2567497951, 2 clinicians

Practice addresses (Care Compare)

2015 Boulevard Luis a Ferre
Suite 101
Ponce, PR 00717
Phone (787) 842-8945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Las Americas Medical Center, Inc. General Practice CurrentSince Jul 13, 2000 Accepting new patients
Policlinica Las Americas Medical Center Inc PastSince Mar 9, 2020 Accepting new patients

Locations

2015 Blvd Luis a Ferre
Ste 101
Ponce, PR 00717

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1376545087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 AVE LAS AMERICAS",
            "address_2": "URB SAN ANTONIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281815",
            "telephone_number": "787-842-8945",
            "fax_number": "787-842-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 AVE LAS AMERICAS",
            "address_2": "URB SAN ANTONIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281815",
            "telephone_number": "787-842-8945",
            "fax_number": "787-842-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABEZA",
        "first_name": "VICTOR",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.