Individual provider Active NPI

Julio A Calcano-Perez, M.D.

  • Neurology Physician
  • Guaynabo, PR
National Provider Identifier
1629073531
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3842 Issued in PR
Practice address
Carr. 1 KM 23.7
Barrio Rio
Guaynabo, PR 00965
Phone
(787) 731-1515
Fax
(787) 731-6267
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 3842 PR
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 3842 PR
Neurology Physician 2084N0400X 3842 PR Primary

Addresses

Primary practice location

Carr. 1 KM 23.7
Barrio Rio
Guaynabo, PR 00965

Mailing address

HC 1 Box 29030
PMB 119
Caguas, PR 00725-8900
Phone (787) 731-1515

Other identifiers 2

IdentifierTypeStateIssuer
660330120OtherPRDR. CALCANO
660412860OtherPRNEUROIMAGINS

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
I20070815000458 PR Practitioner - Neurology 1052403482 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Road 1 KM 23
Guaynabo, PR 00965
Phone (787) 731-1515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3842PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuclear Magnetic Resonance Center Neurology Current Accepting new patients

Locations

29030 HC 1
Caguas, PR 00725
Phone (787) 646-2050

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, 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1629073531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 29030",
            "address_2": "PMB 119",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258900",
            "telephone_number": "787-731-1515",
            "fax_number": "787-731-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 1 KM 23.7",
            "address_2": "BARRIO RIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "787-731-1515",
            "fax_number": "787-731-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCANO-PEREZ",
        "first_name": "JULIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "PR",
            "license": "3842",
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PR",
            "license": "3842",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CALCANO",
            "identifier": "660330120",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEUROIMAGINS",
            "identifier": "660412860",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.