Individual provider Active NPI

Alexandra Capellan, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1952584849
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16948 Issued in PR
Practice address
1440 Calle Salud
Edificio Tamar 3B
Ponce, PR 00730-5803
Phone
(787) 223-2592
Fax
(787) 709-4651
NPI assigned
Dec 13, 2007
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16948 PR Primary

Addresses

Primary practice location

1440 Calle Salud
Edificio Tamar 3B
Ponce, PR 00730-5803

Mailing address

1440 Calle Salud
Edificio Thamar 3B
Ponce, PR 00730-5803
Phone (787) 223-2592

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
I20080520000069 PR Practitioner - General Practice 3274602024 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 Salud St
Suite 3B
Ponce, PR 00730-5803
Phone (787) 223-2592

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Anesthesia Associates LLC Current Accepting new patients

Locations

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1952584849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CALLE SALUD",
            "address_2": "EDIFICIO THAMAR 3B",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007305803",
            "telephone_number": "787-223-2592",
            "fax_number": "787-709-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CALLE SALUD",
            "address_2": "EDIFICIO TAMAR 3B",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007305803",
            "telephone_number": "787-223-2592",
            "fax_number": "787-709-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLAN",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.