Individual provider Active NPI

Manuel Enrique Casasnovas, DMD

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1578608444
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1048 Issued in PR
Practice address
Cond Degetau # a-2
Urb. Bonneville Terrace
Caguas, PR 00727-2363
Phone
(787) 744-5900
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1048 PR Primary

Addresses

Primary practice location

Cond Degetau # a-2
Urb. Bonneville Terrace
Caguas, PR 00727-2363

Mailing address

PO Box 5908
Caguas, PR 00726-5908
Phone (787) 744-5900

Other identifiers 1

IdentifierTypeStateIssuer
1578608444OtherPRNPI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000793 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153610472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1048PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1578608444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5908",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265908",
            "telephone_number": "787-744-5900",
            "fax_number": "787-966-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND DEGETAU # A-2",
            "address_2": "URB. BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272363",
            "telephone_number": "787-744-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASASNOVAS",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578608444",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.