Individual provider Active NPI

Jeanne G Guevara-Mastrangelo, MD

  • Neurology Physician
  • Bayamon, PR
National Provider Identifier
1780818237
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18219 Issued in PR
Practice address
Calle Santa Cruz #66
Instituto San Pablo Suite 507
Bayamon, PR 00961-7041
Phone
(787) 740-2011
Fax
(787) 740-8377
NPI assigned
May 13, 2009
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 18219 PR Primary

Addresses

Primary practice location

Calle Santa Cruz #66
Instituto San Pablo Suite 507
Bayamon, PR 00961-7041

Mailing address

Calle Santa Cruz #66
Instituto San Pablo Suite 507
Bayamon, PR 00961-7041
Phone (787) 740-2011

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
I20130626000083 PR Practitioner - Neurology 5294729273 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18219PRMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: jeanne.guevara-mastrangelo@2621.securemail.prognocis.com
  • Direct secure messaging: jeanne.guevaramastrangelo.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1780818237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #66",
            "address_2": "INSTITUTO SAN PABLO SUITE 507",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-2011",
            "fax_number": "787-740-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #66",
            "address_2": "INSTITUTO SAN PABLO SUITE 507",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-2011",
            "fax_number": "787-740-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA-MASTRANGELO",
        "first_name": "JEANNE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "18219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.