Individual provider Active NPI

Elizabeth Carcache, M.D.

  • Family Medicine Physician
  • Sabana Grande, PR
National Provider Identifier
1487649703
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9778 Issued in PR
Practice address
11 Calle Rodriguez Serra
Sabana Grande, PR 00637-1925
Phone
(787) 873-3955
Fax
(787) 873-3955
NPI assigned
Sep 13, 2005
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9778 PR Primary

Addresses

Primary practice location

11 Calle Rodriguez Serra
Sabana Grande, PR 00637-1925

Mailing address

PO Box 880
Sabana Grande, PR 00637-0880
Phone (787) 873-3955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101123000936 PR Practitioner - Family Practice 4183810609 Practice locations: Sabana Grande, PR
I20241029001093 FL Practitioner - Family Practice 4183810609

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1487649703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370880",
            "telephone_number": "787-873-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE RODRIGUEZ SERRA",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371925",
            "telephone_number": "787-873-3955",
            "fax_number": "787-873-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCACHE",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.