Individual provider Active NPI

Diana Noya Mangual, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1710185905
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15660 Issued in PR
Practice address
29 Washington Street
Ashford Medical Center Suite 402
San Juan, PR 00907
Phone
(787) 724-8441
NPI assigned
Jul 10, 2007
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15660 PR Primary

Addresses

Primary practice location

29 Washington Street
Ashford Medical Center Suite 402
San Juan, PR 00907

Mailing address

2162 Calle Park Blvd
San Juan, PR 00913-4519
Phone (787) 726-5720

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
I20190403002696 PR Practitioner - Obstetrics/Gynecology 6800182858 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1055 Ave Kennedy
Edificio Ila Suite 501
San Juan, PR 00907

29 Washington Ashford Medical Ctr
Suite 402
San Juan, PR 00907
Phone (787) 726-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15660PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1710185905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 CALLE PARK BLVD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134519",
            "telephone_number": "787-726-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYA MANGUAL",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "15660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.