Active NPI
Jesus R Casal, MD
- Pulmonary Disease Physician
- San Juan, PR
National Provider Identifier
1477583144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 12459
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- Fax
- (787) 641-9541
- NPI assigned
- Jul 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 12459 | PR | |
| Pulmonary Disease Physician | 207RP1001X | 12459 | PR | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 12459 | PR |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
B-30 Poppy S.T.
Parque Forestal
San Juan, PR 00926
Phone (787) 287-7034
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 |
|---|---|---|---|---|
| I20121211000081 | PR | Practitioner - Internal Medicine | 4587816947 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Ponce de Leon KM
3 9TH Floor
San Juan, PR 00919
Phone 78775820001600
Hospital & facility affiliations
- Auxilio Mutuo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12459 | PR | MD | Allergy & Immunology (Internal Medicine) Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1477583144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B-30 POPPY S.T.",
"address_2": "PARQUE FORESTAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-287-7034",
"fax_number": "787-641-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582",
"fax_number": "787-641-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAL",
"first_name": "JESUS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PR",
"license": "12459",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PR",
"license": "12459",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "PR",
"license": "12459",
"primary": false
}
],
"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 Mar 18, 2024; 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.