Individual provider Active NPI

Ramon Nicolas Paoli-Bruno, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Humacao, PR
National Provider Identifier
1801894746
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
7355 Issued in PR
Practice address
51 Calle Flor Gerena S
Humacao, PR 00791-4207
Phone
(787) 607-0793
Fax
(787) 755-9005
NPI assigned
Jul 13, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 7355 PR Primary

Addresses

Primary practice location

51 Calle Flor Gerena S
Humacao, PR 00791-4207

Mailing address

PO Box 194288
San Juan, PR 00919-4288
Phone (787) 607-0793

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
I20050618000121 PR Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7810931912 Reassigns benefits to 2 organizations
Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Flor Gerena 51 Sur
Edificio Medicentro
Humacao, PR 00791
Phone (787) 529-2590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9627PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jul 7, 2015 Accepting new patients
Critical Care Medicine Services, Inc. Critical Care Medicine CurrentSince Oct 5, 2009 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 7, 2015 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1276 Calle 54 SE
San Juan, PR 00921
Phone (787) 381-0247

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1801894746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194288",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194288",
            "telephone_number": "787-607-0793",
            "fax_number": "787-755-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE FLOR GERENA S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914207",
            "telephone_number": "787-607-0793",
            "fax_number": "787-755-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLI-BRUNO",
        "first_name": "RAMON",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-01-28",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "7355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.