Eileen Godreau, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8927 Issued in PR

Practice address

850 Calle Arnaldo Bristol
Suite 1 Edificio Fisa
Guayama, PR 00784-6876

Phone

(787) 866-8775

Fax

(787) 866-8795

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eileen Milagros Godreau Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 CALLE DONCELLA",
            "address_2": "URBANIZATION SAN ANTONIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281623",
            "telephone_number": "787-842-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CALLE ARNALDO BRISTOL",
            "address_2": "SUITE 1 EDIFICIO FISA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846876",
            "telephone_number": "787-866-8775",
            "fax_number": "787-866-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODREAU",
        "first_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "GODREAU",
            "middle_name": "MILAGROS",
            "prefix": "DR.",
            "credential": "M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garrod Vision LLC
• Gastroenterology Centre C.S.P.
• Luis Carmelo Gaud, DMD
• Gobierno Municipal Guayama
• Yamilka Damaris Godineaux Manfredy, MD MEDICO GENERALIST
• Golden Ambulance Inc
• Jeymi Lee Gomez
• Miguel A. Gomez, LND
• Carlos J. Gonzalez Degro, MD
• Maribel Gonzalez Ruiz, FNP-BC

• Family Medicine Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.