Individual provider Active NPI

Jose Miguel Fors Carbonell, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1740597822
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18009 Issued in PR
Practice address
Commerce Plaza
Suite 301-305
Guayama, PR 00785-3000
Phone
(787) 383-4567
NPI assigned
Sep 9, 2010
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18009 PR Primary

Addresses

Primary practice location

Commerce Plaza
Suite 301-305
Guayama, PR 00785-3000

Mailing address

PO Box 3000
Guayama, PR 00785-3000
Phone (787) 383-4567

Other identifiers 1

IdentifierTypeStateIssuer
18009OtherPRLICENCIA

Other names 1

  • Dr. Jose M Fors Other name

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
I20131209000569 PR Practitioner - General Practice 5890922322 Practice locations: Cayey, PR

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1740597822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007853000",
            "telephone_number": "787-383-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMERCE PLAZA",
            "address_2": "SUITE 301-305",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007853000",
            "telephone_number": "787-383-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORS CARBONELL",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "18009",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "FORS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.