Manuel Antonio Egozcue, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16318 Issued in PR

Practice address

Carr 115 KM. 24.5
Bo. Asomante
Aguada, PR 00602

Phone

(787) 589-7400

NPI assigned

May 1, 2007

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

Practice roles

Locations

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.

• Aguada Medical Center Inc.

  • Clinic/Center
  • Aguada, PR
  • NPI 1598057374

  PR

  Medicare reassignment NPD
• Clinica Yaguez, Inc.

  • Multi-Specialty Clinic/Center
  • Mayaguez, PR
  • NPI 1326069220

  PR

  Medicare reassignment NPD
• Aguada Medical Center, Inc.

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1023300803
  NPD
• Clinica Yaguez, Inc

  • Specialist
  • Mayaguez, PR
  • NPI 1538617279
  NPD
• Aguada Medical Center Care Club

  • Clinic/Center
  • Aguada, PR
  • NPI 1720490998
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1508087230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VISTA VERDE",
            "address_2": "29 CALLE TOPACIO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "939-222-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 KM. 24.5",
            "address_2": "BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-589-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Calle Toledo",
            "address_2": "Belmonte",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006802308",
            "country_code": "US",
            "telephone_number": "787-637-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGOZCUE",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer Med Transport Inc.
• Awilda Echevarria, MT
• Edith M Echevarria, MT
• Luis A Echevarria, MD
• Luis Alberto Echevarria, PA
• Empathy and Hope Clinical Social Work LLC
• Equipos Medicos by la Monserrate LLC
• Essential Health LLC
• Evolution and Wellness Therapy Group LLC
• Farmacia Aguada Inc.

• All providers in Aguada, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.