Individual provider Active NPI

Carlos Micames Muzaber, M.D., F.A.C.P.

  • Gastroenterology Physician
  • Mayaguez, PR
National Provider Identifier
1023095692
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
005613 Issued in PR
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

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160628002820 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 1153612775 Practice locations: Mayaaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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 Hospital, Mayaguez, PR, CCN 400123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy89
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5613PRMDPharmacist
005613PRMDGastroenterology 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

Sources for this page

Verify at the official NPI Registry.