Individual provider Active NPI

Carlos E. Girod Sr., M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1417947185
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
02421 Issued in PR
Practice address
29 Washington St
Ashford Medical Center 209B
San Juan, PR 00907-1509
Phone
(787) 724-9356
Fax
(787) 724-1520
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 02421 PR Primary

Addresses

Primary practice location

29 Washington St
Ashford Medical Center 209B
San Juan, PR 00907-1509

Mailing address

PO Box 13617
San Juan, PR 00908-3617
Phone (787) 398-0744

Other identifiers 2

IdentifierTypeStateIssuer
921441106OtherPRTRIPLE S PLAN
92144GIOtherPRTRIPLE S PLAN

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
I20070827000021 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315039070 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2421PRMDClinical Psychologist
02421PRMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1417947185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13617",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083617",
            "telephone_number": "787-398-0744",
            "fax_number": "787-724-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON ST",
            "address_2": "ASHFORD MEDICAL CENTER 209B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071509",
            "telephone_number": "787-724-9356",
            "fax_number": "787-724-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROD",
        "first_name": "CARLOS",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "02421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PLAN",
            "identifier": "921441106",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PLAN",
            "identifier": "92144GI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.