Carmen E Ceballos Bonano, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

013101 Issued in PR

Practice address

55 Calle del Carmen W
Fajardo, PR 00738-4717

Phone

(787) 860-3558

Fax

(787) 860-7066

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1740223973
  NPD (past)
• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1861656845
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1790856169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384717",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384717",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS BONANO",
        "first_name": "CARMEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "PR",
            "license": "013101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael J Carrillo-Carambot, MD
• Elizabeth Carrillo
• Casa de Salud del Este Inc.
• Castro Gastroenterology Medical Services, LLC
• Eric Manuel Castrodad Santini, DC
• Centro Cardionuclear Las Piedras, PSC
• Centro Cardiovascular del Este, C.S.P.
• Centro Ciehlo Inc
• Centro de Hematologia Y Oncologia del Este
• Centro de Hematologia Y Oncologia del Este CSP

• Administrator Registered Nurse in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Administrator Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.