Individual provider Active NPI

Miguel A Fabiani, M. D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1548465875
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6604 Issued in PR
Practice address
80 Street Puerta del Cielo
Cond. El Pedregal Apto. #6
Humacao, PR 00791
Phone
(787) 852-8018
Fax
(787) 285-8195
NPI assigned
Jun 18, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6604 PR Primary

Addresses

Primary practice location

80 Street Puerta del Cielo
Cond. El Pedregal Apto. #6
Humacao, PR 00791

Mailing address

P.O. Box 1752
Las Piedras, PR 00771
Phone (787) 852-8018

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
I20100901000232 PR Practitioner - General Surgery 8527182252 Reassigns benefits to 1 organization
Practice locations: Las Piedras, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud Inc CurrentSince Jan 26, 2018 Accepting new patients
Centro de Servicios Primarios de Salud,Inc. Current Accepting new patients
Centro de Servicios Primarios de Salud,Inc. CurrentSince Jan 26, 2018 Accepting new patients

Locations

3 Calle Antonio Alcazar
Florida, PR 00650
Phone (787) 822-2170

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548465875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1752",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-852-8018",
            "fax_number": "787-285-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STREET PUERTA DEL CIELO",
            "address_2": "COND. EL PEDREGAL APTO. #6",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-8018",
            "fax_number": "787-285-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANI",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.