Active NPI
Emcara Health of Puerto Rico, LLC
- Nurse Practitioner
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- EMCARA HEALTH OF PUERTO RICO, LLC
- Practice address
- 450 Constitution Ave
Torre de la Reina Suite 200
San Juan, PR 00901 - Phone
- (800) 793-7050
- NPI assigned
- May 10, 2023
- Last updated
- Jun 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Carriedo
- Title
- Credentialing & Contracting
- Phone
- (800) 793-7050
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
450 Constitution Ave
Torre de la Reina Suite 200
San Juan, PR 00901
Mailing address
113 Seaboard LN Ste 200B
Franklin, TN 37067-8282
Phone (800) 793-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
450 Calle Constitucion
200
San Juan, PR 00920
Phone (800) 793-7050
450 Calle Constitucion
200
San Juan, PR 00920
Phone (800) 793-7050
450 Calle Constitucion
Ste 200
San Juan, PR 00920
Phone (800) 724-5850
450 Calle Constitucion
Ste 200
San Juan, PR 00920
Phone (800) 724-5850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Trujillo Alto, PR
- NPI 1730936022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1649960022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SEABOARD LN STE 200B",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370678282",
"telephone_number": "800-793-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CONSTITUTION AVE",
"address_2": "TORRE DE LA REINA SUITE 200",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901",
"telephone_number": "800-793-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMCARA HEALTH OF PUERTO RICO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "CARRIEDO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CREDENTIALING & CONTRACTING",
"authorized_official_telephone_number": "800-793-7050"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Juliette Siham Elmusa Rivera, LND
- Vanessa Elvira, MA
- Omar Elwishahi, MD
- Natalie Ivelisse Emanuelli Vazquez
- Pedro Luis Emanuelli, D.M.D.
- Eme Dental Clinic
- Emerge PBC (Emergemos)
- Emergency & Pediatric Specialists of P.R. PSC
- Emergency Department Medical Services, CSP (Edms,CSP)
- Emmanuel Gonzalez Irizarry Acs LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.