Individual provider Active NPI

Hans Mangual-Gutierrez, D.M.D.

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1548321193
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2685 Issued in PR
Practice address
400 Ave. F.D. Roosevelt Suite 512
Clinica Las Americas
San Juan, PR 00918-2163
Phone
(787) 756-6380
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2685 PR
Prosthodontics 1223P0700X 2685 PR Primary

Addresses

Primary practice location

400 Ave. F.D. Roosevelt Suite 512
Clinica Las Americas
San Juan, PR 00918-2163

Mailing address

400 Ave. F.D. Roosevelt Suite 512
Clinica Las Americas
San Juan, PR 00918-2163
Phone (787) 756-6380

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001338 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810288784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2685PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1548321193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE. F.D. ROOSEVELT SUITE 512",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-756-6380",
            "fax_number": "787-756-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE. F.D. ROOSEVELT SUITE 512",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-756-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL-GUTIERREZ",
        "first_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2685",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.