Individual provider Active NPI

Yamil E. Castillo Beauchamp, MD

  • Surgery Physician
  • Dorado, PR
National Provider Identifier
1528264702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18258 Issued in PR
Practice address
Manati Medical Center Professional Plaza Suite 504
Calle Hernandez Carrion
Dorado, PR 00646-0000
Phone
(787) 621-4816
NPI assigned
Jun 25, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 18258 PR Primary

Addresses

Primary practice location

Manati Medical Center Professional Plaza Suite 504
Calle Hernandez Carrion
Dorado, PR 00646-0000

Mailing address

425 Carr 693
PMB 384
Dorado, PR 00646-0000
Phone (787) 621-4816

Other identifiers 1

IdentifierTypeStateIssuer
18258OtherPRMEDICAL LICENSE

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
I20110912000264 PR Practitioner - General Surgery 1850562463 Reassigns benefits to 2 organizations
Practice locations: Manati, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1393 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 982-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision19
Removal of tissue62
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18258PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Healing Corp. CurrentSince Nov 1, 2011 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 15, 2014 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 15, 2014 Accepting new patients
Centro de Cancer de la Universidad Past Accepting new patients
Dorado Health Inc Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528264702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693",
            "address_2": "PMB 384",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460000",
            "telephone_number": "787-621-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER PROFESSIONAL PLAZA SUITE 504",
            "address_2": "CALLE HERNANDEZ CARRION",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460000",
            "telephone_number": "787-621-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO BEAUCHAMP",
        "first_name": "YAMIL",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "18258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18258",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.