Individual provider Active NPI

Isaac Eli Castro Reyes, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1407692296
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16943-I Issued in PR
Practice address
Calle Hernandez Carrion, Urb. Atenas
Mnati Medical Center
Manati, PR 00674
Phone
(787) 621-3700
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 16943-I PR Primary

Addresses

Primary practice location

Calle Hernandez Carrion, Urb. Atenas
Mnati Medical Center
Manati, PR 00674

Mailing address

Urb. Jard. de Monaco 1 F13 Calle Manuel G Tavarez
Manati, PR 00674

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
I20260513004466 PR Practitioner - General Practice 8224507710 Practice locations: Dorado, PR; Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Caguas, PR 00726

Road 155 KM 0
Vega Baja, PR 00693-4652
Phone (787) 855-2950

Sistema de Salud Wilma N Vazquez
Carr 698 KM 0.2 400 Bo Mameyal
Dorado, PR 00646
Phone (787) 941-0938

Urb Monaco 1 F13 Calle Manuel G
Manati, PR 00674-6661

Urb Monaco 1 F13 Calle Manuel G Tavarez
Manati, PR 00674-6661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16943-IPRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1407692296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. JARD. DE MONACO 1 F13 CALLE MANUEL G TAVAREZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION, URB. ATENAS",
            "address_2": "MNATI MEDICAL CENTER",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO REYES",
        "first_name": "ISAAC",
        "middle_name": "ELI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16943-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.