Individual provider Active NPI

Edgardo R Joglar Cacho, M.D.

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1508852906
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7074 Issued in PR
Practice address
431 Ave Ponce de Leon
Suite 326
San Juan, PR 00917-3418
Phone
(787) 766-0086
Fax
(787) 720-5348
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 7074 PR Primary

Addresses

Primary practice location

431 Ave Ponce de Leon
Suite 326
San Juan, PR 00917-3418

Mailing address

PO Box 3948
Guaynabo, PR 00970-3948
Phone (787) 766-0086

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
I20060303000016 PR Practitioner - Orthopedic Surgery 9638185416 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 Ponce de Leon Ave
Suite 326
Hato Rey, PR 00918-3403
Phone (787) 766-0086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7074PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1508852906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3948",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703948",
            "telephone_number": "787-766-0086",
            "fax_number": "787-720-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE PONCE DE LEON",
            "address_2": "SUITE 326",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-766-0086",
            "fax_number": "787-720-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOGLAR CACHO",
        "first_name": "EDGARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "7074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.