Mangual Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12611 Issued in PR

Legal business name

MANGUAL PSYCHIATRIC SERVICES

Practice address

34 Calle Munoz Rivera
Cabo Rojo, PR 00623-3536

Phone

(787) 254-4747

Fax

(787) 254-4747

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Efren Eduardo Mangual

Title

President

Phone

(787) 524-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Efren Eduardo Mangual-Cordero, M.D

  • Psychiatry Physician
  • Cabo Rojo, PR
  • NPI 1477658946
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083736003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220660",
            "telephone_number": "787-254-4747",
            "fax_number": "787-254-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE MUNOZ RIVERA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233536",
            "telephone_number": "787-254-4747",
            "fax_number": "787-254-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUAL PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGUAL",
        "authorized_official_first_name": "EFREN",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-524-4747",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M O Primary Specialists PSC
• Lysette Maritza Maiz Negron, MSW
• Ken Robert Malave Ramos, MD
• Maria C Maldonado, M.D.
• Ana M Manana Ferro, MD
• Efren Eduardo Mangual-Cordero, M.D
• Gretchen M Marquez Vega, PSYD
• Yarahomi Marrero Santos
• Mildred Marrero
• Roberto Marrero Sr., MD

• Psychiatry Physician in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.