Individual provider Active NPI

Emanuel Iglesias Torres, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1114215597
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019430 Issued in PR
Practice address
2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone
(787) 841-2878
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 019430 PR Primary

Addresses

Primary practice location

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914

Mailing address

G31 Calle 5
Alturas del Madrigal
Ponce, PR 00730
Phone (787) 841-2878

Other identifiers 1

IdentifierTypeStateIssuer
019430OtherPRPR MEDICAL LICENSE

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
I20160912000981 PR Practitioner - Internal Medicine 4183910573 Reassigns benefits to 2 organizations
Practice locations: Coto Laurel, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Morell Campos Carr 123 KM
Suite 5
Ponce, PR 00731
Phone (787) 913-0652

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019430PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emit Health Services & More LLC Internal Medicine CurrentSince Jun 21, 2023 Accepting new patients
R.E.P Medical Serv, CSP Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

2864 Calle Hibiscus
Ponce, PR 00716
Phone (787) 651-7076

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1114215597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G31 CALLE 5",
            "address_2": "ALTURAS DEL MADRIGAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-841-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS TORRES",
        "first_name": "EMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "019430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSE",
            "identifier": "019430",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.