Laura Enid Caceres Charneco, MD
Individual provider Active NPI General Practice Physician · Morovis, PR
NPI 1962051599 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1962051599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21551 (PR)
- Practice address
- 2 Patron Street
Morovis, PR 00687 - Phone
- (787) 862-3000
- Fax
- (787) 862-2731
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191015002498 | PR | Practitioner - General Practice | 6507197027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21551 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morovis Community Health Center, Inc. | Current |
Accepting new patients | |
| Morovis Community Health Center, Inc. | Current |
Accepting new patients |
Locations
2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21551 | PR | Yes |
Addresses
Primary practice location
2 Patron Street
Morovis, PR 00687
Mailing address
9 Carr 693 KM 14
Apt 906
Vega Alta, PR 00692
Phone (787) 410-4034
Other providers in Morovis, PR
- Ricardo Javier Burgos Burgos
- Nilvette Alexandra Burgos Fontan
- Suzette Michelle Burgos-Otero
- Madeline Burgos
- Yadiris M Cabrera Perez
- Maria R Camacho Peinado
- Karinee Candelario
- Carmen I. Rubio Soto
- Enrique Carrion-Segarra
- CDR Medical Center L.L.C.
All providers in Morovis, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.