Individual provider Active NPI

Jose Julio Correa Carro, M.D.

  • Adult Medicine Physician
  • Cayey, PR
National Provider Identifier
1659381432
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
9365 Issued in PR
Practice address
55 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726
Phone
(787) 738-3088
Fax
(787) 738-0551
NPI assigned
Aug 8, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 9365 PR Primary

Addresses

Primary practice location

55 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726

Mailing address

55 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726
Phone (787) 738-3088

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
I20120827000331 PR Practitioner - Family Practice 0749437713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centro de Medicina de Familia de CayeyGroup PAC ID 1658530266, 2 clinicians

Practice addresses (Care Compare)

55 Calle Barbosa S
Cayey, PR 00736-4726
Phone (787) 738-3088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9365PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Feb 11, 2022 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Feb 11, 2022 Accepting new patients

Organizations & group practices 3

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.

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1659381432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE JOSE CELSO BARBOSA S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364726",
            "telephone_number": "787-738-3088",
            "fax_number": "787-738-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE JOSE CELSO BARBOSA S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364726",
            "telephone_number": "787-738-3088",
            "fax_number": "787-738-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA CARRO",
        "first_name": "JOSE",
        "middle_name": "JULIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "9365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.