Active NPI
Teresita Mangual-Casanova, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1801969605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6151
- 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
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 |
|---|---|---|---|---|
| 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.