Active NPI
Roque Cesar Nido Lanausse, M.D.
- Surgery Physician
- Guayama, PR
National Provider Identifier
1518952092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7453
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3307453 | Other | PR | UIA |
| 600564 | Other | PR | MMM |
| 1173 | Other | PR | INTERNATIONAL MEDICAL CAR |
| PE-1451 | Other | PR | PALIC PROVIDER |
| 6550006 | Other | PR | HUMANA |
| 066139 | Other | PR | CRUZ AZUL |
| 2-04001 | Other | PR | PREFERRED |
| M-115 | Other | PR | MENONITA |
| 99248NI | Other | PR | SSS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 24 |
| Mastectomy | 20 |
| Melanoma (skin cancer) excision | 19 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Critical Access Hospital
- Guayama, PR
- NPI 1639696289
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.