Individual provider Active NPI

Jose Juan Bertran Schuck, MD

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1760097844
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21970 Issued in PR
Practice address
Urb. El Retiro a-8
Humacao, PR 00791
Phone
(787) 852-5548
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 21970 PR Primary

Addresses

Primary practice location

Urb. El Retiro a-8
Humacao, PR 00791

Mailing address

PO Box 1165
Las Piedras, PR 00771-1165
Phone (939) 644-1775

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
I20201102000390 PR Practitioner - General Practice 9234549379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Oct 30, 2020 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Interoperability endpoints

  • Direct secure messaging: jose.bertran@hpmpr.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1760097844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711165",
            "telephone_number": "939-644-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL RETIRO A-8",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAN SCHUCK",
        "first_name": "JOSE",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.