Active NPI
Luis Hernandez Mangual, 0573P
- Paramedic
- Guaynabo, PR
National Provider Identifier
1457566804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 0573P
- Practice address
- 90 Calle San Martin
Guaynabo, PR 00968-1400 - Phone
- (787) 754-2550
- Fax
- (787) 781-2063
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0573P | PR | Primary |
Addresses
Primary practice location
90 Calle San Martin
Guaynabo, PR 00968-1400
Mailing address
PO Box 2161
San Juan, PR 00922-2161
Phone (787) 754-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0573P | PR | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457566804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2161",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009222161",
"telephone_number": "787-754-2550",
"fax_number": "787-781-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CALLE SAN MARTIN",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009681400",
"telephone_number": "787-754-2550",
"fax_number": "787-781-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ MANGUAL",
"first_name": "LUIS",
"credential": "0573P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "PR",
"license": "0573P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Nahir Hernandez Concepcion, 1369P
- Michael Hernandez de la Fuente, M.D.
- Jose B. Hernandez Gil de Lamadrid, M.D.
- Aimar Amarilis Hernandez Gonzalez
- Omar Hernandez Irizarry, 1623P
- Laura Maria Hernandez Martinez
- Tatyana A Hernandez Mendez, PHARMD
- Natividad Hernandez Montalvo, 1015 B
- Jesus M Hernandez Ortiz, 1466P
- Ivelisse Hernandez Rivera, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.