Individual provider Active NPI

Cynthia Rita Casanova, MD

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1376559369
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7117 Issued in PR
Practice address
I7 Calle Ebano
Cond. Madreselva, Apt. 1002
Guaynabo, PR 00968-3100
Phone
(787) 641-7582
Fax
(787) 641-3602
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7117 PR Primary

Addresses

Primary practice location

I7 Calle Ebano
Cond. Madreselva, Apt. 1002
Guaynabo, PR 00968-3100

Mailing address

I7 Calle Ebano
Cond. Madreselva, Apt. 1002
Guaynabo, PR 00968-3100
Phone (787) 641-7582

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
I20130619000540 PR Order and Referring Only - PsychiatryPractitioner - Psychiatry 9436398633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7117PRMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1376559369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I7 CALLE EBANO",
            "address_2": "COND. MADRESELVA, APT. 1002",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683100",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I7 CALLE EBANO",
            "address_2": "COND. MADRESELVA, APT. 1002",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683100",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "CYNTHIA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.