Individual provider Active NPI

Manuel E Imbert Garraton, MD

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1326076068
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8390 Issued in PR
Practice address
Condominio Torre Auxilio 735 Ave. Ponce de Leon
Suite 605
San Juan, PR 00917-5028
Phone
(787) 282-6301
Fax
(787) 759-7422
NPI assigned
Jun 29, 2006
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 8390 PR Primary

Addresses

Primary practice location

Condominio Torre Auxilio 735 Ave. Ponce de Leon
Suite 605
San Juan, PR 00917-5028

Mailing address

Condominio Torre Auxilio Mutuo 735 Ave. Ponce de Leon
Suite 605
San Juan, PR 00917-5028
Phone (787) 282-6301

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
I20101214000080 PR Practitioner - Gastroenterology 5991992117 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 605
San Juan, PR 00917-5028
Phone (787) 282-6301

Condominio Torre Auxilio 735 Ave Ponce de Leon
Suite 605
San Juan, PR 00917-5028

Condominio Torre Auxilio Mutuo
735 Ave Ponce de Leon Suite 605
San Juan, PR 00917-5028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy314
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8390PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Current Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Gastro Metabolic Services PSC Past Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Locations

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1326076068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO TORRE AUXILIO MUTUO 735 AVE. PONCE DE LEON",
            "address_2": "SUITE 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175028",
            "telephone_number": "787-282-6301",
            "fax_number": "787-257-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO TORRE AUXILIO 735 AVE. PONCE DE LEON",
            "address_2": "SUITE 605",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175028",
            "telephone_number": "787-282-6301",
            "fax_number": "787-759-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBERT GARRATON",
        "first_name": "MANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "8390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.