Individual provider Active NPI

Edwin Casiano, M.D.

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1609073238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13335 Issued in PR
Practice address
Hospital Municipal Sabana Grande
Sabana Grande, PR 00637
Phone
(787) 783-2874
NPI assigned
Jun 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13335 PR Primary

Addresses

Primary practice location

Hospital Municipal Sabana Grande
Sabana Grande, PR 00637

Mailing address

PO Box 717
Yauco, PR 00698-0717
Phone (787) 783-2874

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510001944 PR Practitioner - General Practice 1850680117 Reassigns benefits to 2 organizations
Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. CurrentSince Jul 13, 2016 Accepting new patients
Clinica Yaguez, Inc CurrentSince Jul 13, 2016 Accepting new patients
Municipio de Guayanilla Current Accepting new patients
Municipio de Guayanilla Current Accepting new patients

Locations

13 Calle Jose de Diego
Guayanilla, PR 00656
Phone (787) 835-5366

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609073238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980717",
            "telephone_number": "787-783-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MUNICIPAL SABANA GRANDE",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-783-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIANO",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.