Active NPI
Miriam Haydee Castro Chandri, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1447748207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21008
- Practice address
- San Ignacio
1707 San Guillermo
San Juan, PR 00927 - Phone
- (787) 628-8228
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 14362I | PR | |
| General Practice Physician | 208D00000X | 21008 | PR | Primary |
Addresses
Primary practice location
San Ignacio
1707 San Guillermo
San Juan, PR 00927
Mailing address
San Ignacio
1707 San Guillermo
San Juan, PR 00927
Phone (787) 628-8228
Other practice location 1
715 Ave Ponce De Leon # 37.5
Hato Rey, PR 00917-5032
Phone (787) 758-2000 ext. 3216
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190821004153 | PR | Practitioner - General Practice | 1658609151 |
Reassigns benefits to 1 organization Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HPM Foundation Inc
Practice addresses (Care Compare)
2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21008 | PR | MD | General Practice Physician |
| 14362I | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPM Foundation Inc | Current | Accepting new patients | |
| HPM Foundation Inc | General Practice | Current | Accepting new patients |
Locations
2020 Ave Borinquen
Santurce, PR 00915
Interoperability endpoints
- miriam.castro@municipalityofsanjuan.directbygreenway.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1316167661
General Practice, PR
-
- Federally Qualified Health Center (FQHC)
- Carolina, PR
- NPI 1205200367
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1023730504
-
- Federally Qualified Health Center (FQHC)
- Vieques, PR
- NPI 1285156885
-
- Clinical Medical Laboratory
- Culebra, PR
- NPI 1356621791
-
- Federally Qualified Health Center (FQHC)
- Culebra, PR
- NPI 1396965679
-
- Federally Qualified Health Center (FQHC)
- Guaynabo, PR
- NPI 1477191096
-
- Pharmacy
- San Juan, PR
- NPI 1881821874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1447748207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SAN IGNACIO",
"address_2": "1707 SAN GUILLERMO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-628-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN IGNACIO",
"address_2": "1707 SAN GUILLERMO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-628-8228"
}
],
"practiceLocations": [
{
"address_1": "715 Ave Ponce De Leon # 37.5",
"address_purpose": "LOCATION",
"city": "Hato Rey",
"state": "PR",
"postal_code": "009175032",
"country_code": "US",
"telephone_number": "787-758-2000 x3216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO CHANDRI",
"first_name": "MIRIAM",
"middle_name": "HAYDEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "14362I",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.