Carlos Gustavo Micames, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

16768 Issued in PR

Practice address

55 Calle Dr Basora N
Edificio Medico IV, Oficina 1-K
Mayaguez, PR 00680-4810

Phone

(787) 833-4865

NPI assigned

Jul 23, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

GastroenterologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598787491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811121",
            "telephone_number": "787-414-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N",
            "address_2": "EDIFICIO MEDICO IV, OFICINA 1-K",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804810",
            "telephone_number": "787-833-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICAMES",
        "first_name": "CARLOS",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2003-00666",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Mayaguez Inc (Hospital Perea)
• Metro Mayaguez, Inc. (Farmacia Perea)
• Metrohealth Radiation Oncology Group, Inc. (Radiation Therapy and Cancer Institute)
• MF Investment CSP (Grupo Quiropractico Mayaguez)
• Carlos Micames Muzaber, M.D., F.A.C.P.
• Migrant Health Center Western Region Inc
• Migrant Health Center Western Region Urgent Care
• Migrant Health Center Western Region-Centro Especializado En Autismo Y Desarrollo Infantil (Ceadi)
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.

• Gastroenterology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.