Individual provider Active NPI

Teresita Mangual-Casanova, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1801969605
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6151 Issued in PR
Practice address
# 100 Munoz Marin Ave. Hima Caguas Suite 140
Suite 140 Hima San Pablo Caguas
Caguas, PR 00726
Phone
(787) 745-1314
Fax
(787) 745-1314
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6151 PR Primary

Addresses

Primary practice location

# 100 Munoz Marin Ave. Hima Caguas Suite 140
Suite 140 Hima San Pablo Caguas
Caguas, PR 00726

Mailing address

12St. L 13 Colinas de Cupey
San Juan, PR 00926
Phone (787) 748-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1801969605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12ST. L 13 COLINAS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 100 MUNOZ MARIN AVE. HIMA CAGUAS SUITE 140",
            "address_2": "SUITE 140 HIMA SAN PABLO CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-745-1314",
            "fax_number": "787-745-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL-CASANOVA",
        "first_name": "TERESITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.