Active NPI
Erik Omar Caban Rodriguez, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1396932703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18083
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18083 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- 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.