Individual provider Active NPI

Joseph Stephen Campos, MD

  • Internal Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1851317119
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13839 Issued in PR
Practice address
Plaza Guaynabo Shopping Mall
Caribbean Cinemas BLDG., Suite 201
Guaynabo, PR 00970
Phone
(787) 731-4949
Fax
(787) 708-6651
NPI assigned
Jul 13, 2006
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13839 PR Primary

Addresses

Primary practice location

Plaza Guaynabo Shopping Mall
Caribbean Cinemas BLDG., Suite 201
Guaynabo, PR 00970

Mailing address

PO Box 3925
Guaynabo, PR 00970-3925
Phone (787) 731-4949

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
I20031117000468 PR Practitioner - Internal Medicine 0648184473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edificio Caribbean Cinemas
Suite 201 Plaza Guaynabo
Guaynabo, PR 00969
Phone (787) 731-4949

Plaza Guaynabo Caribbean Cin
Suite 201
Guaynabo, PR 00969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13839PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Medical Services, CSP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1851317119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3925",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703925",
            "telephone_number": "787-731-4949",
            "fax_number": "787-708-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA GUAYNABO SHOPPING MALL",
            "address_2": "CARIBBEAN CINEMAS BLDG., SUITE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-731-4949",
            "fax_number": "787-708-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.