Active NPI
Manta Medical, Inc.
- Health Maintenance Organization
- San Juan, PR
National Provider Identifier
1306147160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- MANTA MEDICAL, INC.
- Practice address
- 1883 Calle Glasgow
San Juan, PR 00921-4820 - Phone
- (787) 294-5551
- NPI assigned
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Diego Jose Loinaz
- Title
- President
- Phone
- (787) 294-5551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
1883 Calle Glasgow
San Juan, PR 00921-4820
Mailing address
1353 Ave Luis Vigoreaux
PMB 486
Guaynabo, PR 00966-2715
Phone (787) 294-5551
National Provider Directory
National Provider DirectoryLocations
1883 Calle Glasgow
San Juan, PR 00921
Phone (787) 294-5551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443657600000",
"number": "1306147160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 AVE LUIS VIGOREAUX",
"address_2": "PMB 486",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662715",
"telephone_number": "787-294-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 CALLE GLASGOW",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214820",
"telephone_number": "787-294-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTA MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2015-10-01",
"status": "A",
"authorized_official_last_name": "LOINAZ",
"authorized_official_first_name": "DIEGO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-294-5551",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.