Carlos Juan Chiesa, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

5761 Issued in PR

Practice address

#66 Santa Cruz St.
Instituto San Pablo - Suite 409
Bayamon, PR 00960

Phone

(787) 787-5045

Fax

(787) 798-1690

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Hematology/Oncology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1487659462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BUCARE",
            "address_2": "#29 AMATISTA ST.",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-720-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#66 SANTA CRUZ ST.",
            "address_2": "INSTITUTO SAN PABLO - SUITE 409",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-787-5045",
            "fax_number": "787-798-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIESA",
        "first_name": "CARLOS",
        "middle_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "5761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "9-7286",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "65711",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizayra Denille Chapa, PHARM.D.
• Sergio Alejandro Chevere, MD
• Valeria D. Chevres Rosario, PT, DPT
• Joaquin Chez, M.D.
• Jose J Chiclana, LMT
• Children's Zone Inc.
• Elba Iris Chinea
• Jose Juan Chinea, D.M.D.
• Saudis M Chinea, M.S.
• Daniel L Chiques-Colon

• Hematology & Oncology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.

Verify at the official NPI Registry.