Active NPI
Diana Noya Mangual, M.D.
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1710185905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 15660
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15660 | PR | MD | Social 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.