Individual provider Active NPI

Juan L Duquela, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1750462966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3870 Issued in PR
Practice address
728 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-4500
Phone
(787) 751-4295
Fax
(787) 756-8113
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 3870 PR Primary

Addresses

Primary practice location

728 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-4500

Mailing address

El Senorial Mail Station 552
Winston Churchill Ave. #138
San Juan, PR 00926
Phone (787) 720-4207

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
I20100317000856 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810022738 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

728 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-4505
Phone (787) 751-4295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3870FLMDAcupuncturist
3870PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750462966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL SENORIAL MAIL STATION 552",
            "address_2": "WINSTON CHURCHILL AVE. #138",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-720-4207",
            "fax_number": "787-731-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 AVE PONCE DE LEON",
            "address_2": "SUITE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184500",
            "telephone_number": "787-751-4295",
            "fax_number": "787-756-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUELA",
        "first_name": "JUAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "3870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.