Myriam Guadalupe, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15992 Issued in PR

Practice address

185 St. KM.11.1 Lomas Coles
Canovanas, PR 00729-0729

Phone

(787) 256-6300

Fax

(787) 256-6300

NPI assigned

Nov 2, 2005

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio En El Hogar Fe Y Esperanza de Puerto Rico Hospice, Manati, PR, CCN 401504

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Hospicio En El Hogar Fe Y Esperanza de Puerto Rico, Inc.

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1639119241
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1164413894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "RIO BLANCO",
            "state": "PR",
            "postal_code": "007440799",
            "telephone_number": "787-256-6300",
            "fax_number": "787-256-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ST. KM.11.1 LOMAS COLES",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290729",
            "telephone_number": "787-256-6300",
            "fax_number": "787-256-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "MYRIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue D Gonzalez, RN
• Desiree Gordils Galarza
• Grupo Medico Crespo Orozco PSC
• Grupo Medico del Noreste
• Grupo Terapeutico del Pilar, GTP, LLC
• Sheila M Guadalupe
• Karla I Haddock Legares
• Health Chiropractic and More LLC
• Health Chiropractic LLC
• Health Chiropractic PR

• General Practice Physician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.