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DR. CARLOS R. ALCALA MARQUEZ M.D.
NPI 1295066124
Internal Medicine - Pulmonary Disease in San Juan, PR

Active since January 15, 2010PECOS EnrolledAccepts Medicare Assignment
AVE ARTERIAL HOSTOS # 239, CAPITAL CENTER BLDG. SUITE 606, SAN JUAN, PR 00918(787) 250-1193(787) 281-6119 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carlos R. Alcala Marquez M.d. NPPES

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

DR. CARLOS R. ALCALA MARQUEZ M.D. (NPI 1295066124) is an individual pulmonary disease provider in San Juan, Puerto Rico, licensed in Puerto Rico (17780) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2004).

NPPES Registry Identity

NPI1295066124
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CARLOS R. ALCALA MARQUEZCredential: M.D.
Location AddressAVE ARTERIAL HOSTOS # 239, CAPITAL CENTER BLDG. SUITE 606San Juan, PR 00918-1451
Mailing AddressAve Arterial Hostos # 239, Capital Center Bldg. Suite 606San Juan, PR 00918-1451 · (787) 250-1193 · Fax (787) 281-6119
Phone(787) 250-1193
Fax(787) 281-6119
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2004
Enumeration DateJanuary 15, 2010
Last NPPES UpdateMay 11, 2010
✔ NPI 1295066124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in PR · 17780✔ Licensed in NY · 247245
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
AVE ARTERIAL HOSTOS # 239, San Juan, PR 00918
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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

Dr. Carlos R. Alcala Marquez 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 ID5890823371
PECOS Enrollment IDI20100504000041
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 Reassignment

Medicare enrollment records show Carlos Alcala Marquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Instituto De Enfermedades Pulmonares De P.R., C.S.P.
6.8 mi
Pulmonary Disease
BAYAMON MEDICAL PLAZA, SUITE 607
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Instituto De Enfermedades Pulmonares De Pr Csp
NPI 1477839124 (787) 620-8181

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 5

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.

Test to measure largest amount of air breathed in an out 94200
This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.
48 services22 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
48 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services18 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
38 services17 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
31 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier16 claims18 services$1.68 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier23 claims23 services$21.04 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier30 claims30 services$54.13 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims3,900 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier17 claims19 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carlos Alcala Marquez's NPI number?

The NPI number for Carlos Alcala Marquez is 1295066124. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Carlos Alcala Marquez located?

Carlos Alcala Marquez practices at Ave Arterial Hostos # 239 Capital Center Bldg. Suite 606, San Juan, PR 00918. The listed phone number is (787) 250-1193.

What is Carlos Alcala Marquez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carlos Alcala Marquez enrolled in Medicare?

Yes. Carlos Alcala Marquez 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 organization bills Medicare for Carlos Alcala Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Alcala Marquez reassigns Medicare benefits to Instituto De Enfermedades Pulmonares De P.R., C.S.P. (Bayamon, PR). The 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 Carlos Alcala Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Alcala Marquez was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.