Active NPI
Eduardo Luis Chinea-Amadeo, MD
- Surgery Physician
- San Juan, PR
National Provider Identifier
1447455522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17884
- Practice address
- 29 Calle Washington
Suite 505
San Juan, PR 00907-1510 - Phone
- (787) 412-9092
- NPI assigned
- Jun 18, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17884 | PR | Primary |
Addresses
Primary practice location
29 Calle Washington
Suite 505
San Juan, PR 00907-1510
Mailing address
M6 Calle Clavel
San Juan, PR 00927-6738
Phone (787) 412-9092
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17884 | PR | MD | Surgery Physician |
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.
-
- Surgery Physician
- San Juan, PR
- NPI 1205229200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1447455522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "M6 CALLE CLAVEL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276738",
"telephone_number": "787-412-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CALLE WASHINGTON",
"address_2": "SUITE 505",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071510",
"telephone_number": "787-412-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINEA-AMADEO",
"first_name": "EDUARDO",
"middle_name": "LUIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "17884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Keishla M Chevere Espada
- Jaime L Chevere, MD
- Maria M Cheverez Morales, CPHT
- Amanda Joan Chinberg, LMT
- Luis E Chinea Rivera, MD
- Maria Mercedes Chiques Amador
- Maria Elena Chirino-Socias, MD
- Chiro Care Puerto Rico, LLC
- Chiro-Med PSC
- Chiropractic Network Services of Puerto Rico LLC (Quiroplaza Adler Medical Plaza)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.