Organization Active NPI

Dr.Donald Mangual PSC

  • Dentist
  • San Juan, PR
National Provider Identifier
1720700115
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR.DONALD MANGUAL PSC
Practice address
400 Ave FD Roosevelt Ste 407
San Juan, PR 00918-2163
Phone
(787) 946-5556
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Donald Mangual Sr., DMD MSDNPI 1518158252
Title
Prosthodontics
Phone
(787) 667-9910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

400 Ave FD Roosevelt Ste 407
San Juan, PR 00918-2163

Mailing address

400 Ave FD Roosevelt Ste 407
San Juan, PR 00918-2163
Phone (787) 946-5556

National Provider Directory

National Provider Directory

Locations

400 Ave Fd Roosevelt
Ste 407
San Juan, PR 00918
Phone (787) 274-0527

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1720700115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-946-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-946-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.DONALD MANGUAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "MANGUAL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PROSTHODONTICS",
        "authorized_official_telephone_number": "787-667-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.