Individual provider Active NPI

Jose F Castro Chandri, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1417354879
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18944 Issued in PR
Practice address
400 FD. Rooselvelt Ave
Clinica Las Americas Suite #405
San Juan, PR 00918
Phone
(787) 250-8090
Fax
(787) 281-8308
NPI assigned
Dec 1, 2014
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 18944 PR Primary

Addresses

Primary practice location

400 FD. Rooselvelt Ave
Clinica Las Americas Suite #405
San Juan, PR 00918

Mailing address

1707 Calle San Guillermo
San Juan, PR 00927-6551
Phone (787) 630-2884

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
I20180813001706 PR Practitioner - General Practice 7911255674 Practice locations: San Juan, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1417354879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CALLE SAN GUILLERMO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276551",
            "telephone_number": "787-630-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FD. ROOSELVELT AVE",
            "address_2": "CLINICA LAS AMERICAS SUITE #405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-250-8090",
            "fax_number": "787-281-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO CHANDRI",
        "first_name": "JOSE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.