Individual provider Active NPI

Eric J Carro Jimenez, MD

  • Interventional Cardiology Physician
  • San Juan, PR
National Provider Identifier
1912910621
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
15117 Issued in PR
Practice address
85 Ave de Diego Ste 230
San Juan, PR 00927-6327
Phone
(787) 400-2882
Fax
(787) 705-7135
NPI assigned
Aug 14, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15117 PR
Internal Medicine Physician 207R00000X A104101 CA
Cardiovascular Disease Physician 207RC0000X 15117 PR
Interventional Cardiology Physician 207RI0011X 15117 PR Primary

Addresses

Primary practice location

85 Ave de Diego Ste 230
San Juan, PR 00927-6327

Mailing address

1913 Calle Platanillo
Ext. Santa Maria
San Juan, PR 00927-6616
Phone (787) 644-4579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000082 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 0345134532 Reassigns benefits to 1 organization
I20161102001119 PR Practitioner - Interventional Cardiology 0345134532 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1913 Calle Platanillo
San Juan, PR 00927

85 Ave de Diego
Suite 230
San Juan, PR 00927-6327
Phone (787) 400-2882

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104101CAMDInternal Medicine Physician
15117PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jan 1, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 1, 2013 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1912910621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 CALLE PLATANILLO",
            "address_2": "EXT. SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276616",
            "telephone_number": "787-644-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 AVE DE DIEGO STE 230",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276327",
            "telephone_number": "787-400-2882",
            "fax_number": "787-705-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRO JIMENEZ",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15117",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104101",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "15117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "15117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.