Individual provider Active NPI

Carlos J Cedo Alzamora, MD

  • Otolaryngology Physician
  • Mayaguez, PR
National Provider Identifier
1497747828
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
3969 Issued in PR
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

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3969PRMDClinical 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

Sources for this page

Verify at the official NPI Registry.