Individual provider Active NPI

Chuck Anderson, HS

  • Other Technician
  • San Juan, PR
National Provider Identifier
1689653339
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
Commanding Officer 5 Calle la Puntilla
Uscg Sector San Juan
San Juan, PR 00901
Phone
(787) 729-2305
NPI assigned
Jan 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU Primary

Addresses

Primary practice location

Commanding Officer 5 Calle la Puntilla
Uscg Sector San Juan
San Juan, PR 00901

Mailing address

B20 Calle 5
Santa Anna Ave
Guaynabo, PR 00969-6608
Phone (787) 729-2305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
High School Graduate

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689653339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B20 CALLE 5",
            "address_2": "SANTA ANNA AVE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696608",
            "telephone_number": "787-729-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER 5 CALLE LA PUNTILLA",
            "address_2": "USCG SECTOR SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-729-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "HS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.