Individual provider Active NPI

Erik Omar Caban Rodriguez, M.D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1396932703
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18083 Issued in PR
Practice address
#258 Calle San Jorge
San Juan, PR 00911-2219
Phone
(787) 727-1000
NPI assigned
Sep 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 18083 PR Primary

Addresses

Primary practice location

#258 Calle San Jorge
San Juan, PR 00911-2219

Mailing address

Urb. la Villa de Torrimar
173 Calle Reina Isabel
Guaynabo, PR 00969-3285
Phone (787) 505-1511

Other practice location 1

La Ciudadela
2 Ave. Las Cumbres Apt. 513
Guaynabo, PR 00969-4803
Phone (787) 505-1511

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

LicenseStateTypeSpecialty
18083PRMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: sjcecaban@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1396932703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA VILLA DE TORRIMAR",
            "address_2": "173 CALLE REINA ISABEL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693285",
            "telephone_number": "787-505-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#258 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009112219",
            "telephone_number": "787-727-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "La Ciudadela",
            "address_2": "2 Ave. Las Cumbres Apt. 513",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009694803",
            "country_code": "US",
            "telephone_number": "787-505-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABAN RODRIGUEZ",
        "first_name": "ERIK",
        "middle_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-29",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "18083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.