Individual provider Active NPI

Angel Antonio Isidro Carrion, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1992808562
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
10003 Issued in PR
Practice address
Artenal Hostas 1a
Sotano Capital Center Tone 1
San Juan, PR 00918
Phone
(787) 751-1312
Fax
(787) 751-5158
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10003 PR Primary

Addresses

Primary practice location

Artenal Hostas 1a
Sotano Capital Center Tone 1
San Juan, PR 00918

Mailing address

PO Box 362842
San Juan, PR 00936-2842
Phone (787) 751-1312

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
I20050408000786 PR Practitioner - Pathology 2365489630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

302 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

304 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 765-7320

Hospital & facility affiliations

  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince May 4, 2024 Accepting new patients

Locations

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1992808562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362842",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362842",
            "telephone_number": "787-751-1312",
            "fax_number": "787-751-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARTENAL HOSTAS 1A",
            "address_2": "SOTANO CAPITAL CENTER TONE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-1312",
            "fax_number": "787-751-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDRO CARRION",
        "first_name": "ANGEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "10003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.