Active NPI
Jose D Andrade, M.D.
- General Practice Physician
- Catano, PR
National Provider Identifier
1821351446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18425
- Practice address
- 126 Ave Las Nereidas
Catano, PR 00962-4418 - Phone
- (787) 788-0448
- NPI assigned
- Jun 19, 2012
- Last updated
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18425 | PR | Primary |
Addresses
Primary practice location
126 Ave Las Nereidas
Catano, PR 00962-4418
Mailing address
10116 S Shartel Ave
Oklahoma City, OK 73139-5421
Phone (405) 703-1747
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Anesthesia Associates LLC | Current | Accepting new patients | |
| Hospital Damas Inc | Current | Accepting new patients | |
| Dr Jose a Nassar & Asociados | Past | Accepting new patients | |
| Municipality of Catano | Past | Accepting new patients |
Locations
2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802
Interoperability endpoints
- sjcjandrad@yourcarecommunity.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1730159286
-
- Specialist
- Ponce, PR
- NPI 1336120153
-
- Diagnostic Radiology Physician
- Humacao, PR
- NPI 1265610919
-
- Emergency Care Clinic/Center
- Catano, PR
- NPI 1528267655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1821351446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10116 S SHARTEL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731395421",
"telephone_number": "405-703-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 AVE LAS NEREIDAS",
"city": "CATANO",
"state": "PR",
"postal_code": "009624418",
"telephone_number": "787-788-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "JOSE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catano, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.