Individual provider Active NPI

Zacarias A Mateo Minaya, MD

  • Specialist
  • Santa Isabel, PR
National Provider Identifier
1700990744
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12464 Issued in PR
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.