Kevin Chaparro, MD
Individual provider Active NPI General Practice Physician · Aguada, PR
NPI 1962055269 · NPPES record last updated Aug 27, 2023
Key facts
- NPI
- 1962055269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21475 (PR)
- Practice address
- 137 Calle Colon Ste 1
Aguada, PR 00602-3079 - Phone
- (787) 868-2198
- Fax
- (787) 868-2198
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20190910004020 | PR | Practitioner - General Practice | 0749519155 |
Reassigns benefits to 2 organizations Practice locations: Aguada, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascm Primary Care PSC | Current |
Accepting new patients | |
| Clinica Yaguez, Inc. | Current |
Accepting new patients | |
| Clinica Yaguez, Inc | Current |
Accepting new patients | |
| Kya Medical Health Services | Past |
Accepting new patients |
Locations
137 Calle Colon
Ste 1
Aguada, PR 00602
Phone (787) 868-2198
117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21475 | PR | Yes |
Addresses
Primary practice location
137 Calle Colon Ste 1
Aguada, PR 00602-3079
Mailing address
HC 4 Box 42227
Aguadilla, PR 00603
Phone (939) 310-0050
Other providers in Aguada, PR
- Centro de Aprendizaje Y Desarrollo Integral LLC
- Centro de Terapia Fisica Y Rehabilitacion del Oeste, Inc.
- Centro Especializado Medicina Interna
- Centro Gineco-Obstetrico del Oeste Inc.
- Centro Oftalmologico Y Cirugia Oculofacial Coco
- Nathalia Chaparro
- Norivel Chaparro
- Rosa H Chaparro
- Leslie Ivette Chico
- Chiropractic West Inc.
All providers in Aguada, 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 Aug 27, 2023. 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.