Active NPI
Embata Corp.
- Specialist
- Carolina, PR
National Provider Identifier
1629405287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13819
- Legal business name
- EMBATA CORP.
- Practice address
- 6410 Ave Isla Verde Apt 4 L Este
Carolina, PR 00979 - Phone
- (787) 373-9664
- NPI assigned
- Sep 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel Juan Goyechea, M.D.
- Title
- President
- Phone
- 787373966466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13819 | PR | Primary |
Addresses
Primary practice location
6410 Ave Isla Verde Apt 4 L Este
Carolina, PR 00979
Mailing address
J 6 Calle 2 Urb. Brisas del Mar
Luquillo, PR 00773
Phone (787) 355-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Luiquillo, PR
- NPI 1194260075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1629405287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J 6 CALLE 2 URB. BRISAS DEL MAR",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "00773",
"telephone_number": "787-355-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 AVE ISLA VERDE APT 4 L ESTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-373-9664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBATA CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-27",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "GOYECHEA",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "JUAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787373966466",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "13819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Ego Telehealth Services Inc
- Dianalynn Elias Santiago
- Elite Hematopathology, LLC
- Lillian Karina Elvir Ramos
- Embajadora by Innovation Inc
- Emergency Appointment Incorporated
- Emergency Medical Critical Care LLC
- Emergency Medical Inc
- Emergency Medical Response System Incorporated
- Adriana Sofia Emmanuelli, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.