Individual provider Active NPI

Miguel H Creales, M.D.

  • Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1942224159
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11495 Issued in PR
Practice address
92 Calle Sol
Esquina Torres
Ponce, PR 00730-3669
Phone
(787) 841-8855
Fax
(787) 841-8855
NPI assigned
Jul 27, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11495 PR Primary

Addresses

Primary practice location

92 Calle Sol
Esquina Torres
Ponce, PR 00730-3669

Mailing address

3640 Calle Cumbre
Urb El Monte
Ponce, PR 00716-4809
Phone (787) 975-1323

Other identifiers 10

IdentifierTypeStateIssuer
1697OtherPRAPS - MMM
474028OtherPRFHC
04180OtherPRAMERICAN HEALTH
660651255OtherPRMAPFRE
100983OtherPRCRUZ AZUL DE PR
660651255OtherPRFIRST PLUS
89315 CROtherPRTRIPLE S
9480OtherPRFIRST MEDICAL CARD
2179OtherPRAPS - HUMANA
222142OtherPRPREFERRED HEALTH

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
I20061211000249 PR Practitioner - Psychiatry 2961401435 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

92 Calle Sol Esquina Torres
Ponce, PR 00730-3669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11495PRMDPsychiatry Physician

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1942224159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 CALLE CUMBRE",
            "address_2": "URB EL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164809",
            "telephone_number": "787-975-1323",
            "fax_number": "787-841-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CALLE SOL",
            "address_2": "ESQUINA TORRES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303669",
            "telephone_number": "787-841-8855",
            "fax_number": "787-841-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREALES",
        "first_name": "MIGUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS - MMM",
            "identifier": "1697",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC",
            "identifier": "474028",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "04180",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "660651255",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "100983",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "660651255",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "89315 CR",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL CARD",
            "identifier": "9480",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS - HUMANA",
            "identifier": "2179",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "222142",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

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