Active NPI
Miguel Enrique Lapetina Gavilan
- Surgery Physician
- San Juan, PR
National Provider Identifier
1578089264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24862
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24862 | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Owner LLC | Past | 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.
-
- Surgery Physician
- Manati, PR
- NPI 1649197021
-
- General Acute Care Hospital
- Dorado, PR
- NPI 1194480806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.