Individual provider Active NPI

David Arteaga, MD

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1821481094
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13709-I Issued in PR
Practice address
Carretera 128 KM 1.0,
Dr. Tito Mattei Hospital
Yauco, PR 00698
Phone
(787) 856-1000
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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 13709-I PR Primary

Addresses

Primary practice location

Carretera 128 KM 1.0,
Dr. Tito Mattei Hospital
Yauco, PR 00698

Mailing address

612 Wood Crest St
Moore, OK 73160-6022
Phone (405) 812-4062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161109000682 TX Order and Referring Only - General PracticePractitioner - General Practice 6103105408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13709-IPRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1821481094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WOOD CREST ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606022",
            "telephone_number": "405-812-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 128 KM 1.0,",
            "address_2": "DR. TITO MATTEI HOSPITAL",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13709-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.