Organization Active NPI

Community Health Care Network Corp.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1477516359
Registry record updated Apr 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMMUNITY HEALTH CARE NETWORK CORP.
Practice address
GP8 Ave Roberto Sanchez Vilella
Country Club
Carolina, PR 00982-2677
Phone
(787) 276-1743
Fax
(787) 283-1356
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2012

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

Authorized official

Name
Humberto Herrera, M.D.
Title
Medical Director
Phone
(787) 276-1743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X PR Primary

Addresses

Primary practice location

GP8 Ave Roberto Sanchez Vilella
Country Club
Carolina, PR 00982-2677

Mailing address

PO Box 9059
Plaza Carolina Station
Carolina, PR 00988-9059
Phone (787) 276-1743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000733 PR Part B Supplier - Clinic/Group Practice 3870751688 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Locations

GP8 Ave Roberto Sanchez Vilella
Carolina, PR 00982
Phone (787) 276-1743

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333843200000",
    "number": "1477516359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9059",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889059",
            "telephone_number": "787-276-1743",
            "fax_number": "787-283-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GP8 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822677",
            "telephone_number": "787-276-1743",
            "fax_number": "787-283-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE NETWORK CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-04-08",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-276-1743",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2012; 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.