Individual provider Active NPI

Jose A Manautou, M.D

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1871683235
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11260 Issued in PR
Practice address
Hima Plaza 1
Suite 703
Caguas, PR 00725-7301
Phone
(787) 224-5664
NPI assigned
Oct 13, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11260 PR Primary

Addresses

Primary practice location

Hima Plaza 1
Suite 703
Caguas, PR 00725-7301

Mailing address

PO Box 4952
MSC 174
Caguas, PR 00726-4952
Phone (787) 258-3649

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
I20120914000303 PR Practitioner - Internal Medicine 7214185313 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hima Plaza I
Suite 703
Caguas, PR 00726
Phone (787) 224-5664

Suite 4952
Caguas, PR 00726

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Oct 6, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 6, 2020 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1871683235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4952",
            "address_2": "MSC 174",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264952",
            "telephone_number": "787-258-3649",
            "fax_number": "787-258-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1",
            "address_2": "SUITE 703",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "telephone_number": "787-224-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAUTOU",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.