Grupo Medico Enmanuel CSP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRUPO MEDICO ENMANUEL CSP

Practice address

Carretera 152 KM 8.0
Bo. Quebradillas
Barranquitas, PR 00794

Phone

(787) 857-0300

Fax

(787) 857-0800

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Esteban Vazquez Astacio, MDNPI 1740399153

Title

Presidente

Phone

(787) 299-3803

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 4

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

• Esteban Vazquez Astacio, MD

  • General Practice Physician
  • Barranquitas, PR
  • NPI 1740399153
  Medicare reassignment NPD Authorized official
• Debora Vasquez, M.D.

  • Family Medicine Physician
  • Lorton, VA
  • NPI 1154600955

  Multi-Specialty, PR

  Medicare reassignment NPD
• Fe Iris Fernandez Cabrera, MD

  • General Practice Physician
  • Barranquitas, PR
  • NPI 1407965304
  NPD (past)
• Josefina Ortiz Rivera, MD

  • General Practice Physician
  • Corozal, PR
  • NPI 1760563092
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1215040936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940489",
            "telephone_number": "787-857-0300",
            "fax_number": "787-857-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 152 KM 8.0",
            "address_2": "BO. QUEBRADILLAS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-857-0300",
            "fax_number": "787-857-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO ENMANUEL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ ASTACIO",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-299-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limary Fuentes, AUX
• Gabriela TT LLC
• Ernesto Jose Gonzalez Rivera, MD
• Richard Gonzalez Rivera, DSW, MSW, MA
• Carmen Rosa Gonzalez Torres, MS SLP
• Grupo Radiologico del Centro
• Juan Isidro Guerrero, MD
• Alejandra Hernandez, MS-PHL
• Virginia Hernandez
• Iann Ambulance Inc

• General Practice Physician in Barranquitas, PR
• Providers in Barranquitas, 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 Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.