NPIMap

Organization Active NPI

Med Caribe CSP

  • Exclusive Provider Organization
  • San Juan, PR
National Provider Identifier
1962564773
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
MED CARIBE CSP
Practice address
Urb. Puerto Nuevo
FD Roosevelt # 1028
San Juan, PR 00920-2904
Phone
(787) 706-8705
Fax
(787) 706-9334
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Hector J. Candelas, M.D.
Title
President
Phone
(787) 778-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X PR Primary

Addresses

Primary practice location

Urb. Puerto Nuevo
FD Roosevelt # 1028
San Juan, PR 00920-2904

Mailing address

Urb. Puerto Nuevo
FD Roosevelt # 1028
San Juan, PR 00920-2904
Phone (787) 706-8705

National Provider Directory

National Provider Directory

Locations

1028 Ave Fd Roosevelt
San Juan, PR 00920
Phone (787) 706-8705

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962564773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PUERTO NUEVO",
            "address_2": "FD ROOSEVELT # 1028",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202904",
            "telephone_number": "787-706-8705",
            "fax_number": "787-706-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PUERTO NUEVO",
            "address_2": "FD ROOSEVELT # 1028",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202904",
            "telephone_number": "787-706-8705",
            "fax_number": "787-706-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARIBE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANDELAS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-0315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.