Efren Eduardo Mangual-Cordero, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12611 Issued in PR

Practice address

Munoz Rivera Street
34 Bajos
Cabo Rojo, PR 00623

Phone

(787) 309-7390

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Aps Clinics of Puerto Rico, Inc.

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1336194448

  Psychiatry

  NPD (past)
• Mangual Psychiatric Services

  • Psychiatry Physician
  • Cabo Rojo, PR
  • NPI 1083736003
  NPD (past)
• MM Psychiatric Services LLC

  dba Hospital Oasis de Vida

  • Psychiatric Hospital
  • Cabo Rojo, PR
  • NPI 1548120371
  NPD (past)
• Ponce Medical School Foundation Inc

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1043208804
  NPD (past)
• Southwest Health Corp

  dba Hospital Metropolitano Psiquiatrico de Cabo Rojo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
  • NPI 1225266059
  NPD (past)
• Southwest Health Corp

  dba Hospital Metropolitano Psiquiatrico de Cabo Rojo

  • Psychiatric Hospital
  • Cabo Rojo, PR
  • NPI 1407800469
  NPD (past)
• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477658946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220660",
            "telephone_number": "787-255-6632",
            "fax_number": "787-255-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA STREET",
            "address_2": "34 BAJOS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-309-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL-CORDERO",
        "first_name": "EFREN",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysette Maritza Maiz Negron, MSW
• Ken Robert Malave Ramos, MD
• Maria C Maldonado, M.D.
• Ana M Manana Ferro, MD
• Mangual Psychiatric Services
• Gretchen M Marquez Vega, PSYD
• Yarahomi Marrero Santos
• Mildred Marrero
• Roberto Marrero Sr., MD
• Marisol Martinez Medina, M.D.

• Psychiatry Physician in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Psychiatry Physician in Puerto Rico

• 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.
• 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.