Individual provider Active NPI

Gustavo Rafael Albizu, M.D.

  • General Practice Physician
  • Morovis, PR
National Provider Identifier
1043265374
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16319 Issued in PR
Practice address
HC 3 Box 31902
Morovis, PR 00687-9031
Phone
(787) 862-8844
NPI assigned
May 24, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16319 PR Primary

Addresses

Primary practice location

HC 3 Box 31902
Morovis, PR 00687-9031

Mailing address

HC 3 Box 31902
Morovis, PR 00687-9031
Phone (787) 862-8844

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
I20060908000477 PR Practitioner - General Practice 0648274415 Practice locations: Morovis, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Calle Principal
Morovis, PR 00687-3014
Phone (787) 862-8844

31902 HC
Suite 3
Morovis, PR 00687-9031

HC 3 Box
Suite 31902
Morovis, PR 00687-9031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gustavo R. Albizu Angulo PSC. General Practice Current Accepting new patients
Gustavo R Albizu Angulo PSC General Practice CurrentSince Jul 16, 2023 Accepting new patients

Locations

26 Calle Principal
Morovis, PR 00687
Phone (787) 862-8844

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1043265374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 31902",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006879031",
            "telephone_number": "787-862-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 31902",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006879031",
            "telephone_number": "787-862-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBIZU",
        "first_name": "GUSTAVO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.