Individual provider Active NPI

Eric M Perez Carrasquillo, MD

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1417916230
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12200 Issued in PR
Practice address
Ave Jose Villares
Urb Paradise Calle 6 Apto 1a
Caguas, PR 00725
Phone
(787) 747-0790
Fax
(787) 747-0790
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12200 PR Primary

Addresses

Primary practice location

Ave Jose Villares
Urb Paradise Calle 6 Apto 1a
Caguas, PR 00725

Mailing address

PMB 236
200 Ave Rafael Cordero Suite 140
Caguas, PR 00725
Phone (787) 747-0790

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
I20061031000419 PR Practitioner - Internal Medicine 2062419229 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Urb Villa Blanca PMB
Suite 236
Caguas, PR 00725-9510

Ave Jose Villares
Urb Paradise Calle 6 Apto 1a
Caguas, PR 00725

C6 Ave Jose Villares
Apt 1a
Caguas, PR 00725-2660
Phone (787) 747-0790

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Caguas Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1417916230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 236",
            "address_2": "200 AVE RAFAEL CORDERO SUITE 140",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-0790",
            "fax_number": "787-747-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JOSE VILLARES",
            "address_2": "URB PARADISE CALLE 6 APTO 1A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-0790",
            "fax_number": "787-747-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARRASQUILLO",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.