Organization Active NPI

Caribbean Shoulder and Elbow Institute

  • Medical Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1730738675
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CARIBBEAN SHOULDER AND ELBOW INSTITUTE
Practice address
Calle 1 Marginal Carr#2
Local Esquina 3-B
Bayamon, PR 00959
Phone
(787) 622-5420
Fax
(787) 625-2490
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Jose Alberto Rodriguez Diaz, MDNPI 1609134881
Title
Owner
Phone
(787) 955-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

Calle 1 Marginal Carr#2
Local Esquina 3-B
Bayamon, PR 00959

Mailing address

710 Calle Un Apt 202
San Juan, PR 00907-4238
Phone (787) 955-3331

Other practice location 1

Carr. #874
Avenida Fernandez Juncos
Carolina, PR 00986
Phone (787) 626-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420002933 PR Part B Supplier - Clinic/Group Practice 3173855731 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR; Carolina, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Marginal
Ste 2
Bayamon, PR 00959
Phone (787) 604-4746

1785 Carr 21
#206
San Juan, PR 00921
Phone (787) 955-3331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1730738675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CALLE UN APT 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074238",
            "telephone_number": "787-955-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 MARGINAL CARR#2",
            "address_2": "LOCAL ESQUINA 3-B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-622-5420",
            "fax_number": "787-625-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. #874",
            "address_2": "Avenida Fernandez Juncos",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00986",
            "country_code": "US",
            "telephone_number": "787-626-0472",
            "fax_number": "787-626-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARIBBEAN SHOULDER AND ELBOW INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-955-3331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.