Jumana Abuomar, M.D.
Individual provider Active NPI Nephrology Physician · Canovanas, PR
NPI 1104028307 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1104028307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 16751 (PR)
- Practice address
- Villas de Loiza Calle 1 Bloque B1
Altos Farmacia Medina II
Canovanas, PR 00729 - Phone
- (787) 886-3254
- Fax
- (787) 957-1555
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University Central del Caribe Escuela de Medicina, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Canovanas, PR 00729
Villas de Loiza Calle 1 Bloque
B1 Altos Farmacia Medina II
Canovanas, PR 00729
Phone (787) 886-3254
Hospital & facility affiliations
- FMC Canovanas
- FMC Rio Grande
- Hospital Upr, Dr Federico Trilla
- Auxilio Mutuo Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081113000330 | PR | Practitioner - Nephrology |
3678633179 | Practice locations: Canovanas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16751 | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montalvo Nephrology Institute PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16751 | PR | |
| Nephrology Physician | 207RN0300X | 16751 | PR | Yes |
Addresses
Primary practice location
Villas de Loiza Calle 1 Bloque B1
Altos Farmacia Medina II
Canovanas, PR 00729
Mailing address
PO Box 1358
Canovanas, PR 00729-1358
Phone (787) 886-3254
Other providers in Canovanas, PR
- Abbattis Solutions LLC
- Abbot Optical Lens Inc.
- Abc Optika LLC
- Advance Cardiovascular Studies, PSC
- Advance Medical & Administration Services, Corp
- Advance Prosthetics
- Agosto Endocrinology
- Virgilio Agosto-Trenche
All providers in Canovanas, PR · Nephrology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.