Individual provider Active NPI

Miguel Enrique Lapetina Gavilan

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1578089264
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24862 Issued in PR
Practice address
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone
(787) 777-3535
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 24862 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico
San Juan, PR 00921

Mailing address

PO Box 367976
San Juan, PR 00936-7976
Phone (787) 640-8868

Other practice location 1

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-3434

Other practice location 2

Carr #2 Km 47.7
Manati, PR 00674
Phone (787) 621-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University Central del Caribe Escuela de Medicina, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Manati, PR 00674

PO Box
San Juan, PR 00936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24862PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Owner LLC PastSince Jul 15, 2026 Accepting new patients
Lapetina Surgical Care LLC Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1578089264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367976",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367976",
            "telephone_number": "787-640-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ave Luis Munoz Marin",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007256184",
            "country_code": "US",
            "telephone_number": "787-653-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr #2 Km 47.7",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPETINA GAVILAN",
        "first_name": "MIGUEL ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "24862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.