Elly Chiprout, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10861 Issued in PR

Practice address

Road 628 KM 3.1
Sector Jovales Sabana Hoyos
Arecibo, PR 00628

Phone

(787) 881-2617

Fax

(787) 881-2568

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1831372424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AVE 3",
            "address_2": "ESTANCIAS LOS ROSALES 111",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745600",
            "telephone_number": "787-237-1051",
            "fax_number": "787-881-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 628 KM 3.1",
            "address_2": "SECTOR JOVALES SABANA HOYOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00628",
            "telephone_number": "787-881-2617",
            "fax_number": "787-881-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPROUT",
        "first_name": "ELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Chico Heredia
• Vymagda Chico Nolla, PSY. D
• Damaso Chico, SRNA
• Samuel Chico, MSW
• Childs Therapy Service, LLC.
• Evelyn Carolina Chisholm, MD
• Guillermo Cintron Jr.
• Kristal M Cintron
• Classen Medical Equipment Corp.
• Carlos Claudio

• Internal Medicine Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.