HERIBERTO CASANOVA M.D.
NPI 1275829459
Surgery in San Juan, PR

Q: What is Heriberto Casanova's NPI number?

The NPI number for Heriberto Casanova is 1275829459. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Q: What is Heriberto Casanova's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 25, 2011PECOS EnrolledAccepts Medicare Assignment

300 CALLE GEORGETOWN, SAN JUAN, PR 00927(305) 772-5550 Get Directions Write a Review

NPPES record last updated: June 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Heriberto Casanova M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERIBERTO CASANOVA M.D. (NPI 1275829459) is an individual surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (12855-I) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Doctors Center Hospital Carolina Llc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1275829459

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameHERIBERTO CASANOVACredential: M.D.

Location Address300 CALLE GEORGETOWNSan Juan, PR 00927-4018

Mailing Address300 Calle GeorgetownSan Juan, PR 00927-4018 · (305) 772-5550

Phone(305) 772-5550

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJune 25, 2011

✔ NPI 1275829459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PR · 12855-I

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heriberto Casanova M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193013407

PECOS Enrollment IDI20161019000611

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Heriberto Casanova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hcr Surgical P.S.C.

Surgery

80100 CALLE FERNANDEZ JUNCOS
Carolina, PR 00985

Reassigned Medicare billing, Puerto Rico enrollment
Medicare enrollment name: Hcr Surgical Psc

NPI 1497447080 (787) 626-0472

Hospitalist Medical Services, Psc

Emergency Medical Services

CARR 2 KM 47.7
Manati, PR 00674

Reassigned Medicare billing, Puerto Rico enrollment
44 clinicians in this Medicare group

NPI 1356639546 (787) 854-3322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Center Hospital Carolina LLC

Acute Care Hospitals · Carolina, PR

OwnershipProprietary

CMS Certification Number400132

LocationEdif Jesus T Pineiro Ave Fernandez Juncos Bo PueblCarolina, PR 00979 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00927 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.07 typical visit price

range $56.86 – $172.44

Typical copayment $22.01 (range $14.21 – $43.11)

Most-billed visit code 99203

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heriberto Casanova's NPI number?

The NPI number for Heriberto Casanova is 1275829459. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Heriberto Casanova located?

Heriberto Casanova practices at 300 Calle Georgetown, San Juan, PR 00927. The listed phone number is (305) 772-5550.

What is Heriberto Casanova's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heriberto Casanova enrolled in Medicare?

Yes. Heriberto Casanova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heriberto Casanova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heriberto Casanova reassigns Medicare benefits to 2 organizations: Hcr Surgical P.S.C. (Carolina, PR) and Hospitalist Medical Services, Psc (Manati, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heriberto Casanova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heriberto Casanova affiliated with any hospitals?

According to CMS data, Heriberto Casanova is affiliated with Doctors Center Hospital Carolina LLC.

When was this NPI record last updated?

The NPPES record for Heriberto Casanova was last updated on June 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.