Damaris Mangual-Gonzalez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13068 Issued in PR

Practice address

352 Calle Madrid
Mansiones de Ciudad Jardin
Caguas, PR 00727-1407

Phone

(787) 653-6219

Fax

(787) 746-2207

NPI assigned

Aug 30, 2006

Last updated

Jun 20, 2011By 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

Psychiatry

Education

University of Puerto Rico School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1265542559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CALLE MADRID",
            "address_2": "MANSIONES DE CIUDAD JARDIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271407",
            "telephone_number": "787-653-6219",
            "fax_number": "787-746-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 CALLE MADRID",
            "address_2": "MANSIONES DE CIUDAD JARDIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271407",
            "telephone_number": "787-653-6219",
            "fax_number": "787-746-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL-GONZALEZ",
        "first_name": "DAMARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "13068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador J Maldonado
• Evelyn Malpica, PHARM. D
• Gabriela Manautou-Guevara, PHARMD
• Jose A Manautou, M.D
• Teresita Mangual-Casanova, M.D.
• Antonio Fernando Manrique III, DC
• Marie Carmen Marcano-Ortiz, M.D.
• Arlene Marcano, CPHT
• Raul V. Marco Borrull, M.D.
• Maria de Lourdes Ortiz, CSP

• Psychiatry Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.