Active NPI
Carlos J Cedo Alzamora, MD
- Otolaryngology Physician
- Mayaguez, PR
National Provider Identifier
1497747828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 3969
- Practice address
- Edif la Palma
Peral #14 Esquina de Diego Apt 2 F
Mayaguez, PR 00680-4861 - Phone
- (787) 833-1113
- Fax
- (787) 831-2380
- NPI assigned
- Aug 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 3969 | PR | Primary |
Addresses
Primary practice location
Edif la Palma
Peral #14 Esquina de Diego Apt 2 F
Mayaguez, PR 00680-4861
Mailing address
PO Box 3479
Mayaguez, PR 00681-3479
Phone (787) 833-1113
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 |
|---|---|---|---|---|
| I20110204000375 | PR | Practitioner - Otolaryngology | 5496935678 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Puerto Rico School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Edificio la Palma Apt
2F Calle Peral 14 Esquina de Diego
Mayaguez, PR 00680
Phone (787) 833-1113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3969 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1497747828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3479",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813479",
"telephone_number": "787-833-1113",
"fax_number": "787-831-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF LA PALMA",
"address_2": "PERAL #14 ESQUINA DE DIEGO APT 2 F",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804861",
"telephone_number": "787-833-1113",
"fax_number": "787-831-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDO ALZAMORA",
"first_name": "CARLOS",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PR",
"license": "3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Robert Castro, MD
- Nelly Ann Catala, M.D.
- CB Internal Medicine
- Francisco Carlos Cebollero, M.D.
- Nanette Y Cedeno Laclaustra, M.D
- Ingrid Marie Cedo Cintron, MS
- Laura Emilia Cedo Cintron, MD, FACOG
- Centro Cirugia Ambulatoria Hospital San Antonio
- Centro de Cirugia Refractiva del Oeste
- Centro de Diagnostico Y Tratamiento de San Sebastian Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.