Individual provider Active NPI

Gyssel Eliza Cabanillas Castillo, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1235596347
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19233 Issued in PR
Practice address
110 Calle Enrique Vazquez Baez
Mayaguez, PR 00680-3645
Phone
(787) 447-4240
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19233 PR Primary

Addresses

Primary practice location

110 Calle Enrique Vazquez Baez
Mayaguez, PR 00680-3645

Mailing address

110 Calle Enrique Vazquez Baez
Mayaguez, PR 00680-3645
Phone (787) 447-4240

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
I20180807001649 PR Practitioner - General Practice 5698023729 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19233PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Dec 26, 2018 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Dec 26, 2018 Accepting new patients
G & Z Wellness and Health General Practice CurrentSince Nov 19, 2024 Accepting new patients

Locations

110 Calle Enrique Vazquez Baez
Mayaguez, PR 00680
Phone (787) 447-4240

126 Calle Carmelo Martinez
Ste 2
Mayaguez, PR 00682
Phone (787) 505-5052

Organizations & group practices 3

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1235596347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CALLE ENRIQUE VAZQUEZ BAEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803645",
            "telephone_number": "787-447-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE ENRIQUE VAZQUEZ BAEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803645",
            "telephone_number": "787-447-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANILLAS CASTILLO",
        "first_name": "GYSSEL",
        "middle_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.