Individual provider Active NPI

Carmen S Caban Espinosa, M.D.

  • Diagnostic Radiology Physician
  • Carolina, PR
National Provider Identifier
1457450207
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3491 Issued in PR
Practice address
Carolina CT & Breast Clinic
Carolina Shopping Court Suite 023a
Carolina, PR 00985
Phone
(787) 257-0677
Fax
(787) 257-3030
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3491 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 3491 PR

Addresses

Primary practice location

Carolina CT & Breast Clinic
Carolina Shopping Court Suite 023a
Carolina, PR 00985

Mailing address

PO Box 7037
Carolina, PR 00986-7037
Phone (787) 762-8216

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
I20080407000603 PR Practitioner - Diagnostic Radiology 5698852291 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3491PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Jun 12, 2015 Accepting new patients
Neomed Center, Inc Diagnostic Radiology CurrentSince Jun 12, 2015 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince May 1, 2013 Accepting new patients
Neomed Center, Inc Current Accepting new patients

Locations

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1457450207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7037",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009867037",
            "telephone_number": "787-762-8216",
            "fax_number": "787-257-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA CT & BREAST CLINIC",
            "address_2": "CAROLINA SHOPPING COURT SUITE 023A",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-257-0677",
            "fax_number": "787-257-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN ESPINOSA",
        "first_name": "CARMEN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "3491",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "3491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.