Individual provider Active NPI

Jose I Almodovar - Laborde, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San German, PR
National Provider Identifier
1508874876
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
11632 Issued in PR
Practice address
Carr. 2 KM 174.0
San German Medical Plaza Suite 207
San German, PR 00683-9340
Phone
(787) 892-3513
Fax
(787) 892-7422
NPI assigned
Aug 3, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 11632 PR Primary

Addresses

Primary practice location

Carr. 2 KM 174.0
San German Medical Plaza Suite 207
San German, PR 00683-9340

Mailing address

HC 3 Box 25716
San German Medical Paza
San German, PR 00683-9340
Phone (787) 892-3513

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
I20060405000378 PR Practitioner - Otolaryngology 0749298511 Reassigns benefits to 1 organization
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25716 HC
Suite 3
San German, PR 00683-9340

San German Med PLZ
207 Carr.2 KM 174.0
San German, PR 00683-9340
Phone (787) 892-3513

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc CurrentSince Jul 26, 2011 Accepting new patients
Ivette L Cruz Rivera PastSince Apr 3, 2022 Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1508874876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 25716",
            "address_2": "SAN GERMAN MEDICAL PAZA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839340",
            "telephone_number": "787-892-3513",
            "fax_number": "787-892-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2 KM 174.0",
            "address_2": "SAN GERMAN MEDICAL PLAZA SUITE 207",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839340",
            "telephone_number": "787-892-3513",
            "fax_number": "787-892-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR - LABORDE",
        "first_name": "JOSE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PR",
            "license": "11632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.