Individual provider Active NPI

Jennifer Suris Cancel, MD

  • Family Medicine Physician
  • Hormigueros, PR
National Provider Identifier
1730645565
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21384 Issued in PR
Practice address
3 Calle Jardines
Hormigueros, PR 00660-1733
Phone
(787) 849-3098
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21384 PR Primary

Addresses

Primary practice location

3 Calle Jardines
Hormigueros, PR 00660-1733

Mailing address

Urbanizacion Remanso
Cabo Rojo, PR 00623

Other practice location 1

Urbanizacion Remanso
1020 Calle Baya Honda
Cabo Rojo, PR 00623
Phone (939) 299-0112

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
I20230425000139 PR Practitioner - Family PracticePractitioner - General Practice 1052776333 Reassigns benefits to 2 organizations
Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42 Calle Carbonell
Cabo Rojo, PR 00623-3445
Phone (939) 299-0112

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044
  • Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113
  • Hospital Metropolitano Dr Pila Hospital, Ponce, PR, CCN 400003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guayama Ims Hospital Medical Services LLC Family Medicine CurrentSince Jul 21, 2025 Accepting new patients
Dr. Francisco F. Noel Irizarry, C.S.P. Family Medicine CurrentSince Mar 17, 2023 Accepting new patients
P.R. Med Vitality LLC Family Medicine CurrentSince Nov 12, 2023 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

3 Calle Jardines
Hormigueros, PR 00660
Phone (787) 849-3098

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.

Hospital & facility affiliations 3

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1730645565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION REMANSO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE JARDINES",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601733",
            "telephone_number": "787-849-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urbanizacion Remanso",
            "address_2": "1020 Calle Baya Honda",
            "address_purpose": "LOCATION",
            "city": "Cabo Rojo",
            "state": "PR",
            "postal_code": "00623",
            "country_code": "US",
            "telephone_number": "939-299-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURIS CANCEL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

Verify at the official NPI Registry.