Individual provider Active NPI

Alberto Angulo Johnson, M.D.

  • Family Medicine Physician
  • Lares, PR
National Provider Identifier
1922165448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11404 Issued in PR
Practice address
Haciendas de Borinquen II
18 Calle Ceiba
Lares, PR 00669-9538
Phone
(787) 637-4548
Fax
(787) 897-4952
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11404 PR Primary

Addresses

Primary practice location

Haciendas de Borinquen II
18 Calle Ceiba
Lares, PR 00669-9538

Mailing address

Haciendas de Borinquen II
18 Calle Ceiba
Lares, PR 00669-9538
Phone (787) 637-4548

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
I20040120000488 PR Practitioner - Family Practice 9133020324 Reassigns benefits to 1 organization
Practice locations: Lares, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lares Medical Center Inc Current Accepting new patients
Lares Medical Center Inc. Past Accepting new patients

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922165448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDAS DE BORINQUEN II",
            "address_2": "18 CALLE CEIBA",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699538",
            "telephone_number": "787-637-4548",
            "fax_number": "787-897-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HACIENDAS DE BORINQUEN II",
            "address_2": "18 CALLE CEIBA",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699538",
            "telephone_number": "787-637-4548",
            "fax_number": "787-897-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO JOHNSON",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.