NPIMap

Individual provider Active NPI

Teodosio J Rucabado, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1801907233
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6410 Issued in PR
Practice address
405 Calle de Diego
San Juan, PR 00923-3012
Phone
(787) 758-3506
Fax
(787) 766-1858
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6410 PR Primary

Addresses

Primary practice location

405 Calle de Diego
San Juan, PR 00923-3012

Mailing address

73 Calle Malva
Extension Santa Maria
San Juan, PR 00927-6606
Phone (787) 764-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000388 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426132333 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Aa7 Carr
Suite 678
Vega Alta, PR 00692-6750
Phone (787) 800-1800

Hospital & facility affiliations

  • San Juan Municipality Hospital Hospital, Rio Piedras, PR, CCN 400015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6410PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Group, Corp. CurrentSince Oct 22, 2018 Accepting new patients
North East Cardiology Group LLC Cardiovascular Disease PastSince Jul 24, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: teodosio.rucabado.p1@direct.vitacare.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1801907233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CALLE MALVA",
            "address_2": "EXTENSION SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276606",
            "telephone_number": "787-764-3190",
            "fax_number": "787-766-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233012",
            "telephone_number": "787-758-3506",
            "fax_number": "787-766-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCABADO",
        "first_name": "TEODOSIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.