Individual provider Active NPI

Carlos A Rigau, D.M.D.

  • General Practice Dentistry
  • Humacao, PR
National Provider Identifier
1639199185
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2431 Issued in PR
Practice address
61 Calle Antonio Lopez S Ste 1
Humacao, PR 00791-4262
Phone
(787) 852-6852
Fax
(787) 852-0031
NPI assigned
Jul 20, 2006
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 2431 PR Primary

Addresses

Primary practice location

61 Calle Antonio Lopez S Ste 1
Humacao, PR 00791-4262

Mailing address

PO Box 3596
Juncos, PR 00777-6596
Phone (787) 852-6852

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
I20160502000843 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4183923865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excelencia Dental, PSC General Practice CurrentSince Dec 22, 2019 Accepting new patients

Locations

61 Calle Antonio Lopez S
Ste 1
Humacao, PR 00791
Phone (787) 852-6852

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1639199185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3596",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007776596",
            "telephone_number": "787-852-6852",
            "fax_number": "787-850-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE ANTONIO LOPEZ S STE 1",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914262",
            "telephone_number": "787-852-6852",
            "fax_number": "787-852-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGAU",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.