NPIMap

Organization Active NPI

Caribbean Vascular Services PC

  • Vascular Surgery Physician
  • Ponce, PR
National Provider Identifier
1467779512
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
14241 Issued in PR
Legal business name
CARIBBEAN VASCULAR SERVICES PC
Practice address
909 Ave Tito Castro
Torre Medica San Lucas Ste 602
Ponce, PR 00716-4728
Phone
(787) 651-1429
Fax
(787) 651-1430
NPI assigned
Apr 29, 2010
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Jorge L Martinez TrabalNPI 1972717239
Title
President
Phone
(787) 908-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 14241 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro
Torre Medica San Lucas Ste 602
Ponce, PR 00716-4728

Mailing address

604 Calle Felipe
Mansion Real
Coto Laurel, PR 00780-2640
Phone (787) 908-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818000944 PR Part B Supplier - Clinic/Group Practice 1052538949 Receives reassigned benefits from 6 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 602
Ponce, PR 00716
Phone (787) 651-1429

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1467779512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CALLE FELIPE",
            "address_2": "MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802640",
            "telephone_number": "787-908-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS STE 602",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN VASCULAR SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ TRABAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-908-7645",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "14241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.