Individual provider Active NPI

Carrie C Baco Brogniez, MD

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1740287143
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12820 Issued in PR
Practice address
16 Calle Peral N
1-A Edificio Torre Peral
Mayaguez, PR 00680-4855
Phone
(787) 834-6825
Fax
(787) 834-6865
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12820 PR Primary

Addresses

Primary practice location

16 Calle Peral N
1-A Edificio Torre Peral
Mayaguez, PR 00680-4855

Mailing address

PO Box 1478
Mayaguez, PR 00681-1478
Phone (787) 834-6825

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
I20110328000298 PR Practitioner - Internal Medicine 5092998179 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cond Torre Peral Ofic
1A Calle Peral 16 Norte
Mayaguez, PR 00680-4855
Phone (787) 834-6825

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1740287143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1478",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811478",
            "telephone_number": "787-834-6825",
            "fax_number": "787-834-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE PERAL N",
            "address_2": "1-A EDIFICIO TORRE PERAL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804855",
            "telephone_number": "787-834-6825",
            "fax_number": "787-834-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACO BROGNIEZ",
        "first_name": "CARRIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.