Active NPI
Miguel A Fabiani, M. D.
- General Practice Physician
- Humacao, PR
National Provider Identifier
1548465875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6604
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios Primarios de Salud Inc | Current | Accepting new patients | |
| Centro de Servicios Primarios de Salud,Inc. | Current | Accepting new patients | |
| Centro de Servicios Primarios de Salud,Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Florida, PR
- NPI 1104896190
-
- Community Health Clinic/Center
- Florida, PR
- NPI 1235394305
-
- Radiology Clinic/Center
- Florida, PR
- NPI 1992096176
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
- Essential Health Group LLC
- Eunusi LLC
- Evolve Therapy Services LLC
- Excelencia Dental, PSC
- Eyeglasses for Less LLC
- Facilidades Medicas Asociadas Corp.
- Facilidades Medicas Asociadas Corp.
- Facilidades Medicas Asociadas Corp.
- Facilidades Medicas Asociadas Corp.
- Farmacia Central Humacao Inc (Farmacia Central)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.