Active NPI
Carlos Micames Muzaber, M.D., F.A.C.P.
- Gastroenterology Physician
- Mayaguez, PR
National Provider Identifier
1023095692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 005613
- Practice address
- 55 Calle Dr Basora 55 Norte Edicicio Medico IV
Suite 111
Mayaguez, PR 00680-0111 - Phone
- (787) 833-4865
- Fax
- (787) 265-4757
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5613 | PR | |
| Gastroenterology Physician | 207RG0100X | 005613 | PR | Primary |
Addresses
Primary practice location
55 Calle Dr Basora 55 Norte Edicicio Medico IV
Suite 111
Mayaguez, PR 00680-0111
Mailing address
PO Box 1092
Mayaguez, PR 00681-1092
Phone (787) 833-4865
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160628002820 | PR | Practitioner - Gastroenterology | 1153612775 | Practice locations: Mayaaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Puerto Rico School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Calle Dr Basora IV Building
Suite 111
Mayaaguez, PR 00680-4857
Phone (787) 866-4865
Hospital & facility affiliations
- Hospital Perea
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 89 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5613 | PR | MD | Pharmacist |
| 005613 | PR | MD | Gastroenterology Physician |
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": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1023095692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1092",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006811092",
"telephone_number": "787-833-4865",
"fax_number": "787-265-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA 55 NORTE EDICICIO MEDICO IV",
"address_2": "SUITE 111",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006800111",
"telephone_number": "787-833-4865",
"fax_number": "787-265-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICAMES MUZABER",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "5613",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "005613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Metro Mayaguez Inc
- Metro Mayaguez Inc
- Metro Mayaguez, Inc.
- Metrohealth Radiation Oncology Group, Inc.
- MF Investment CSP
- Carlos Gustavo Micames, MD
- Migrant Health Center Western Region Inc
- Migrant Health Center Western Region Urgent Care
- Migrant Health Center Western Region-Centro Especializado En Autismo Y Desarrollo Infantil (Ceadi)
- Migrant Health Center Western Region, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.