Donald Mangual, DMD,MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

801 Issued in PR

Practice address

400 Ave FD Roosevelt
Off. 512
San Juan, PR 00918-2103

Phone

(787) 756-6380

Fax

(787) 756-6381

NPI assigned

Aug 7, 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

Other identifiers 1

Other names 1

• Dr. Donald Mangual Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dr.Donald Mangual PSC

  • Dentist
  • San Juan, PR
  • NPI 1720700115
  NPD Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1518158252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-946-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "OFF. 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-756-6380",
            "fax_number": "787-756-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DMD,MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039086300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "MANGUAL",
            "prefix": "DR.",
            "credential": "DMD,MSD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Management & Dvelopment Group, LLC.
• Management Integrated Solution
• Claudia Alejandra Mangual Suarez, MD
• Hans Mangual-Gutierrez, D.M.D.
• Alfredo Mangual, RRT
• Jahaira Mangual, MSW
• Josue Cordero Mangual Sr., BSN
• Zaida E Mangual, MS
• Gwendolyn Mann
• Iris B Manosa Santiago

• Prosthodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Prosthodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.