Individual provider Active NPI

Roque Cesar Nido Lanausse, M.D.

  • Surgery Physician
  • Guayama, PR
National Provider Identifier
1518952092
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7453 Issued in PR
Practice address
3 Callejon Los Veteranos
Guayama Medical Center, 1St Floor
Guayama, PR 00784-5984
Phone
(787) 864-1012
Fax
(787) 866-2125
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7453 PR Primary

Addresses

Primary practice location

3 Callejon Los Veteranos
Guayama Medical Center, 1St Floor
Guayama, PR 00784-5984

Mailing address

PO Box 180
Guayama, PR 00785-0180
Phone (787) 864-1012

Other identifiers 9

IdentifierTypeStateIssuer
3307453OtherPRUIA
600564OtherPRMMM
1173OtherPRINTERNATIONAL MEDICAL CAR
PE-1451OtherPRPALIC PROVIDER
6550006OtherPRHUMANA
066139OtherPRCRUZ AZUL
2-04001OtherPRPREFERRED
M-115OtherPRMENONITA
99248NIOtherPRSSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081017000703 PR Practitioner - General Surgery 0547328650 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Guayama Medical Ctr
Los Veteranos Ave 3
Guayama, PR 00784-0001
Phone (787) 864-1012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)24
Mastectomy20
Melanoma (skin cancer) excision19
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Guayama Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1518952092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850180",
            "telephone_number": "787-864-1012",
            "fax_number": "787-866-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLEJON LOS VETERANOS",
            "address_2": "GUAYAMA MEDICAL CENTER, 1ST FLOOR",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845984",
            "telephone_number": "787-864-1012",
            "fax_number": "787-866-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDO LANAUSSE",
        "first_name": "ROQUE",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "7453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3307453",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "600564",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "1173",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC PROVIDER",
            "identifier": "PE-1451",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6550006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "066139",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED",
            "identifier": "2-04001",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENONITA",
            "identifier": "M-115",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "99248NI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.