Individual provider Active NPI

Nelson Carrasquillo Falcon, MD

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1801986609
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9869 Issued in PR
Practice address
70 Calle Antonio R Barcelo
Cidra, PR 00739-3438
Phone
(787) 714-2322
Fax
(787) 739-1233
NPI assigned
Oct 13, 2006
Last updated
May 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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 9869 PR Primary

Addresses

Primary practice location

70 Calle Antonio R Barcelo
Cidra, PR 00739-3438

Mailing address

70 Antonio R Barcelo
Cidra, PR 00739
Phone (787) 714-2322

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
I20090202000416 PR Practitioner - General Practice 2769546084 Practice locations: Cidra, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 Calle Antonio R Barcelo
Cidra, PR 00739-3438
Phone (787) 714-2322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9869PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1801986609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ANTONIO R BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-2322",
            "fax_number": "787-739-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE ANTONIO R BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393438",
            "telephone_number": "787-714-2322",
            "fax_number": "787-739-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO FALCON",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.