Orelbe Mederos Broche, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

015684 Issued in PR

Practice address

Calle de Diego E
Edif. CPR #207
Mayaguez, PR 00680-4866

Phone

(787) 834-4348

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1730201617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810939",
            "telephone_number": "787-834-4340",
            "fax_number": "787-265-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO E",
            "address_2": "EDIF. CPR #207",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804866",
            "telephone_number": "787-834-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEROS BROCHE",
        "first_name": "ORELBE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "2222983",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "015684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTESIOLOGY",
            "identifier": "2222983",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Ivette MC Cormick
• MCV Health Group LLC
• Med Help
• Meddyg Group LLC
• Priscilla Marie Medero-Rodriguez, M.D.
• Medical Express Corp
• Medical Quality Inc
• Medicina Preventiva del Oeste
• Gerardo J Medina Caban, MD
• Debbie Ann Medina Gonzalez, OPTHOMETRIC, O.D.

• Anesthesiology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.