Active NPI
Zacarias A Mateo Minaya, MD
- Specialist
- Santa Isabel, PR
National Provider Identifier
1700990744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12464
- Practice address
- Bo Paso Seco Sector Useras Carr 153 KM 7.5
Santa Isabel, PR 00757 - Phone
- (787) 971-7186
- Fax
- (787) 842-7836
- NPI assigned
- Aug 18, 2006
- Last updated
- Mar 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12464 | PR | Primary |
Addresses
Primary practice location
Bo Paso Seco Sector Useras Carr 153 KM 7.5
Santa Isabel, PR 00757
Mailing address
PMB 357 Suite 102 Ave Tito Castro #609
Ponce, PR 00716
Phone (787) 602-1331
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121015000106 | PR | Practitioner - Obstetrics/Gynecology | 1658520341 | Practice locations: Santa Isabel, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Menonita Ponce Inc | Past | Accepting new patients | |
| Centro Vacunacion | Past | Accepting new patients | |
| Centro Medico Central Coto Laurel, Inc | Specialist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Coto Laurel, PR
- NPI 1679529648
-
- Primary Care Clinic/Center
- Coto Laurel, PR
- NPI 1356646491
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1235856253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1700990744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 357 SUITE 102 AVE TITO CASTRO #609",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-602-1331",
"fax_number": "787-842-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO PASO SECO SECTOR USERAS CARR 153 KM 7.5",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-971-7186",
"fax_number": "787-842-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO MINAYA",
"first_name": "ZACARIAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "12464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.