Individual provider Active NPI

Carmen M. Alvarez Rondon, MD.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1437223260
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10166 Issued in PR
Practice address
Ponce de Leon #728 Suites
San Juan, PR 00919-1000
Phone
(787) 754-9720
Fax
(787) 767-6743
NPI assigned
Nov 20, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10166 PR Primary

Addresses

Primary practice location

Ponce de Leon #728 Suites
San Juan, PR 00919-1000

Mailing address

PO Box 9655
San Juan, PR 00908-0655
Phone (787) 402-2251

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
I20110608000382 PR Practitioner - Psychiatry 8325225923 Practice locations: San Juan, PR; Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Phone (787) 731-5785

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10166PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supralva Corp Psychiatry Past Accepting new patients
Radiation Oncology and Psychiatry Services C.S.P. Psychiatry PastSince Apr 18, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1437223260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9655",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080655",
            "telephone_number": "787-402-2251",
            "fax_number": "787-767-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE DE LEON #728 SUITES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191000",
            "telephone_number": "787-754-9720",
            "fax_number": "787-767-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ RONDON",
        "first_name": "CARMEN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.