Manuel Javier Iglesias, M.D.

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

17973 Issued in PR

Practice address

Puerto Rico Medical Center
University Pediatric Hospital
Rio Piedras, PR 00936

Phone

(787) 777-3535

Fax

(787) 756-8907

NPI assigned

Jan 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Grupo Intensivo Pediatrico de San Juan

  • Pediatric Critical Care Medicine Physician
  • San Juan, PR
  • NPI 1477537892
  Medicare reassignment NPD
• Departamento de Salud Oficial

  • Children's Hospital
  • Rio Piedras, PR
  • NPI 1174678460
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1457536054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CC14 CALLE DAISY",
            "address_2": "BORINQUEN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266314",
            "telephone_number": "787-720-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "UNIVERSITY PEDIATRIC HOSPITAL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-777-3535",
            "fax_number": "787-756-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MANUEL",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11,844-I",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PR",
            "license": "17973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Isaac Gonzalez Martinez
• Hospital Pediatrico Universitario
• Sarah E Huertas - Goldman, MD
• I Look Optical Management, LLC
• Ifg Thoracic & Cardiovascular Services C.S.P.
• Iniciativa Comunitaria, Inc
• Integrate Community Health System
• Integrate Community Health System, Inc.
• International Medical Solution LLC
• Iturregi Rehab Center, Corp.

• Pediatric Critical Care Medicine Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Pediatric Critical Care Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.