Magin Inocencio Casanova, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16906 Issued in PR

Practice address

Bo Almirante Norte
Carr 160 KM 4.5
Vega Baja, PR 00693

Phone

(787) 654-8465

Fax

(787) 654-7444

NPI assigned

Oct 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mika Medical Corp

  • General Practice Physician
  • Vega Baja, PR
  • NPI 1508563990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1568651560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO LOS CORALES I",
            "address_2": "564 C/ GOLFO DE MEXICO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-654-8465",
            "fax_number": "787-654-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO ALMIRANTE NORTE",
            "address_2": "CARR 160 KM 4.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-654-8465",
            "fax_number": "787-654-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Monte Carlo",
            "address_2": "121 Calle Marginal Suite 3",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-654-8840",
            "fax_number": "787-654-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "MAGIN",
        "middle_name": "INOCENCIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M. Carrasquillo Guzman
• Lorrainne Brunilda Carrion, M.D.
• Brenda Cartagena, PT
• Yesenia Barbar Carvajal
• Erick Alberto Casanova, MD
• Noemi Casanova, R.P.H.
• Sebastian A Castellano, THL
• Michelle Castillo
• Carylee Castro Colon, MD
• Yahaira Castro

• General Practice Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.

Verify at the official NPI Registry.