Alfredo Beauchamp, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

006678 Issued in PR

Practice address

Degetau Ave. A17 San Alfonso
Box5327
Caguas, PR 00726-5327

Phone

(787) 653-5353

Fax

(787) 653-5364

NPI assigned

May 4, 2006

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Isla Medical Services CSP

  • Health Maintenance Organization
  • Gurabo, PR
  • NPI 1003261835
  Authorized official Same address or phone
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Intermed Primary Care

  • Primary Care Clinic/Center
  • Caguas, PR
  • NPI 1780632638
  NPD (past)
• Mediko Medicina Primaria Corp

  • Primary Care Clinic/Center
  • Caguas, PR
  • NPI 1609096981
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1821046939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5327",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265327",
            "telephone_number": "787-653-5353",
            "fax_number": "787-653-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEGETAU AVE. A17 SAN ALFONSO",
            "address_2": "BOX5327",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265327",
            "telephone_number": "787-653-5353",
            "fax_number": "787-653-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "006678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "3643",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS",
            "identifier": "998035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "8000565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "068430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "28527BE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coraly Barreto-Bonilla, PHARM D.
• Luis R Barreto-Sola, M.D.
• Hector M. Barreto, OPTICIAN
• Melissa A Barrios Melendez
• Wanda I Batista, RPH
• Behavioral Science & Traumatic Stress Institute
• Behavioral Wellness Center, PSC
• Manuel Belaval, M.D.
• Believe & Be Clinic LLC
• Axel Bello, PHARM.D

• Geriatric Medicine (Family Medicine) Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.