Individual provider Active NPI

Manuel R Prats Vega, M.D.

  • Specialist
  • Guaynabo, PR
National Provider Identifier
1326041500
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10382 Issued in PR
Practice address
6 Calle Carazo
Guaynabo, PR 00969-5639
Phone
(787) 272-3182
Fax
(787) 708-2588
NPI assigned
May 23, 2005
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10382 PR Primary
Diagnostic Radiology Physician 2085R0202X 10382 PR

Addresses

Primary practice location

6 Calle Carazo
Guaynabo, PR 00969-5639

Mailing address

PMB 336, 405 Ave. Esmeralda
Suite 2
Guaynabo, PR 00969-4457
Phone (787) 272-0668

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
I20050826000779 PR Practitioner - Diagnostic Radiology 4082645254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Calle Carazo
Guaynabo, PR 00969-5613
Phone (787) 272-0668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98438FLMDFamily Medicine Physician
10382PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey Specialist CurrentSince Jul 6, 2019 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jul 6, 2019 Accepting new patients
Dynamic MRI and 3D CT CSP CurrentSince May 28, 2011 Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients
Ponce Neuroradiological Services, PSC Diagnostic Radiology Past Accepting new patients
Bioimagenes Medicas CSP Diagnostic Radiology Past Accepting new patients
Levittown Advance MRI and CT Services PSC Past Accepting new patients

Locations

405 Ave Esmeralda
Ste 2
Guaynabo, PR 00969
Phone (787) 277-5477

6 Calle Carazo
Guaynabo, PR 00969
Phone (787) 272-0668

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1326041500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 336, 405 AVE. ESMERALDA",
            "address_2": "SUITE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694457",
            "telephone_number": "787-272-0668",
            "fax_number": "787-708-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695639",
            "telephone_number": "787-272-3182",
            "fax_number": "787-708-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATS VEGA",
        "first_name": "MANUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10382",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "10382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.