Individual provider Active NPI

Amin D Jaskille Mujica, M.D.

  • Surgery Physician
  • Caguas, PR
National Provider Identifier
1043477029
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17919 Issued in PR
Practice address
Ave Luis Munoz Marin, Num 100
Urb Mariolga
Caguas, PR 00725
Phone
(787) 653-2219
Fax
(787) 653-1312
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17919 PR Primary

Addresses

Primary practice location

Ave Luis Munoz Marin, Num 100
Urb Mariolga
Caguas, PR 00725

Mailing address

PO Box 4980
Caguas, PR 00726-4980
Phone (787) 653-2219

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
I20110317000316 PR Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1052594744 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Mar 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 16, 2011 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Mar 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 16, 2011 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1043477029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-653-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN, NUM 100",
            "address_2": "URB MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-2219",
            "fax_number": "787-653-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKILLE MUJICA",
        "first_name": "AMIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "17919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.