Individual provider Active NPI

Carlos M. Alvarado Hernandez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1760678445
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16895 Issued in PR
Practice address
1036 Calle 11 SE
San Juan, PR 00921-3121
Phone
(787) 767-4804
Fax
(787) 767-4804
NPI assigned
Sep 17, 2007
Last updated
Sep 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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 16895 PR Primary

Addresses

Primary practice location

1036 Calle 11 SE
San Juan, PR 00921-3121

Mailing address

1036 Calle 11 SE
San Juan, PR 00921-3121
Phone (787) 767-4804

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
I20130409000594 PR Practitioner - General Practice 3375789761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr PR-3 KM
4 Bo. Canovanillas
Carolina, PR 00985
Phone (787) 230-7530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16895PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc CurrentSince Feb 1, 2021 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Metro Pavia Healthcare Center CurrentSince Feb 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1760678445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 CALLE 11 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213121",
            "telephone_number": "787-767-4804",
            "fax_number": "787-767-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 CALLE 11 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213121",
            "telephone_number": "787-767-4804",
            "fax_number": "787-767-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO HERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.