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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231005000014 | PR | Part B Supplier - Clinic/Group Practice | 9436504875 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
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
Ste 200
San Juan, PR 00920
Phone (800) 724-5850
450 Calle Constitucion
Ste 200
San Juan, PR 00920
Phone (800) 724-5850
450 Calle Constitucion
200
San Juan, PR 00920
Phone (800) 793-7050
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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
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.