Individual provider Active NPI

Enrique Escobar-Medina, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Caguas, PR
National Provider Identifier
1669588562
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
12070 Issued in PR
Practice address
Hima Plaza #1
Suite # 703
Caguas, PR 00725
Phone
(787) 744-8315
Fax
(787) 746-4311
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 12070 PR Primary

Addresses

Primary practice location

Hima Plaza #1
Suite # 703
Caguas, PR 00725

Mailing address

PO Box 8637
Caguas, PR 00726-8637
Phone (787) 744-8315

Other identifiers 1

IdentifierTypeStateIssuer
8-9579OtherPRSSS

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
I20040712001036 PR Practitioner - Orthopedic SurgeryPractitioner - General Surgery 5294713681 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Mar 22, 2014 Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery of the Spine CurrentSince Mar 22, 2014 Accepting new patients
Liga Puertorriquena Contra El Cancer Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1669588562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8637",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268637",
            "telephone_number": "787-744-8315",
            "fax_number": "787-746-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA #1",
            "address_2": "SUITE # 703",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8315",
            "fax_number": "787-746-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR-MEDINA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PR",
            "license": "12070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "8-9579",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.