Individual provider Active NPI

Bianca S Pujol Angomas, M.D.

  • General Practice Physician
  • Santurce, PR
National Provider Identifier
1386641538
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10897 Issued in PR
Practice address
312 Ave de Diego
Torre Museo BLDG
Santurce, PR 00909-1756
Phone
(787) 480-3702
Fax
(787) 724-4057
NPI assigned
Jul 1, 2005
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10897 PR Primary

Addresses

Primary practice location

312 Ave de Diego
Torre Museo BLDG
Santurce, PR 00909-1756

Mailing address

116 Calle Coral
Parque de Isla Verde
Carolina, PR 00979-1364
Phone (787) 374-4109

Other identifiers 1

IdentifierTypeStateIssuer
10897OtherPRLICENSE

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
I20070313000501 PR Practitioner - General Practice 4385747229 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10897PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CDT Dr Gualberto Rabell Past Accepting new patients

Organizations & group practices 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1386641538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CALLE CORAL",
            "address_2": "PARQUE DE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791364",
            "telephone_number": "787-374-4109",
            "fax_number": "787-253-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 AVE DE DIEGO",
            "address_2": "TORRE MUSEO BLDG",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091756",
            "telephone_number": "787-480-3702",
            "fax_number": "787-724-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJOL ANGOMAS",
        "first_name": "BIANCA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10897",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.