Individual provider Active NPI

Alejandro Javier Berrocal Bravo, MD

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1740804863
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21686 Issued in PR
Practice address
410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500
Phone
(787) 652-9200
NPI assigned
Jun 4, 2020
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 21686 PR Primary

Addresses

Primary practice location

410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500

Mailing address

PO Box 1394
Mayaguez, PR 00681-1394
Phone (787) 646-9436

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
I20240813004091 PR Practitioner - Family Practice 7810333523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21686PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Hospital Menonita de Cayey Multi-Specialty Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1740804863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1394",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811394",
            "telephone_number": "787-646-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 2",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821500",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERROCAL BRAVO",
        "first_name": "ALEJANDRO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.