Individual provider Active NPI

Xavier Cales, M.D.

  • Legal Medicine
  • Ponce, PR
National Provider Identifier
1750366969
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
8573 Issued in PR
Practice address
5259 Calle Caracas
Ponce, PR 00717-1762
Phone
(787) 842-1496
Fax
(787) 842-1496
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 8573 PR Primary

Addresses

Primary practice location

5259 Calle Caracas
Ponce, PR 00717-1762

Mailing address

Calle 12, H-11 Jardines Fagot
Ponce, PR 00716-4070
Phone (787) 844-7708

Other identifiers 3

IdentifierTypeStateIssuer
200040OtherPRMMM HEALTH CARE
9081OtherPRINTERNATIONAL
82669OtherPRTRIPLE S

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
I20160115000908 PR Practitioner - General Practice 9638472129 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8573PRMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1750366969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 12, H-11 JARDINES FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164070",
            "telephone_number": "787-844-7708",
            "fax_number": "787-842-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 CALLE CARACAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171762",
            "telephone_number": "787-842-1496",
            "fax_number": "787-842-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALES",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "8573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTH CARE",
            "identifier": "200040",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL",
            "identifier": "9081",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82669",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.