Individual provider Active NPI

Ernesto Borrero, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1598166233
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
33980 Issued in PR
Practice address
University Distric Hospital Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00935-0001
Phone
(787) 754-0101
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 33980 PR Primary

Addresses

Primary practice location

University Distric Hospital Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00935-0001

Mailing address

PO Box 365067
Upr School of Medicine, Associate Deanship for Students
San Juan, PR 00936-5067

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
I20201007000090 PR Practitioner - Neurology 1557780855 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Calle Palma
Arecibo, PR 00612-4526
Phone (939) 400-8432

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33980PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurovida LLC Neurology CurrentSince Dec 25, 2024 Accepting new patients

Locations

55 Calle Palma
Ofc
Arecibo, PR 00612
Phone (787) 306-1898

230 Ave Arterial Hostos
Apt 405E
San Juan, PR 00918
Phone (787) 636-0600

Organizations & group practices 1

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1598166233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "address_2": "UPR SCHOOL OF MEDICINE, ASSOCIATE DEANSHIP FOR STUDENTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DISTRIC HOSPITAL PUERTO RICO MEDICAL CENTER",
            "address_2": "BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-754-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRERO",
        "first_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "33980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.