Individual provider Active NPI

Juan Carlos Chaparro, M.D.

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1639343239
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17099 Issued in PR
Practice address
Carr 129 KM 21.8 Bo Callejones
Lares, PR 00669-0066
Phone
(787) 372-4271
Fax
(787) 563-0298
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17099 PR Primary

Addresses

Primary practice location

Carr 129 KM 21.8 Bo Callejones
Lares, PR 00669-0066

Mailing address

HC 6 Box 94582
Arecibo, PR 00612-9653
Phone (787) 372-4271

Other practice location 1

HC 6 Box 94582
Arecibo, PR 00612-9653
Phone (787) 969-5785

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
I20080620000210 PR Practitioner - General Practice 2567533466 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 10 KM
Arecibo, PR 00612
Phone (787) 881-1134

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1639343239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 94582",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129653",
            "telephone_number": "787-372-4271",
            "fax_number": "787-563-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 21.8 BO CALLEJONES",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690066",
            "telephone_number": "787-372-4271",
            "fax_number": "787-563-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 6 Box 94582",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006129653",
            "country_code": "US",
            "telephone_number": "787-969-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPARRO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.