Individual provider Active NPI

Rafael Hiram Miguez-Balseiro, M.D.

  • Psychiatry Physician
  • Caguas, PR
National Provider Identifier
1114145604
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5792 Issued in PR
Practice address
A-7 Degetau Ave.
Urb. Boneville Terrace
Caguas, PR 00725
Phone
(787) 746-5757
Fax
(787) 745-5757
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5792 PR Primary

Addresses

Primary practice location

A-7 Degetau Ave.
Urb. Boneville Terrace
Caguas, PR 00725

Mailing address

1701 Calle San Esteban
Urb. San Ignacio
San Juan, PR 00927-6555
Phone (787) 758-5526

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
I20190715003231 PR Practitioner - Psychiatry 7618254947 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5792PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Aug 18, 2024 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Aug 18, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1114145604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CALLE SAN ESTEBAN",
            "address_2": "URB. SAN IGNACIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276555",
            "telephone_number": "787-758-5526",
            "fax_number": "787-758-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A-7 DEGETAU AVE.",
            "address_2": "URB. BONEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-746-5757",
            "fax_number": "787-745-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEZ-BALSEIRO",
        "first_name": "RAFAEL",
        "middle_name": "HIRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.