Giovanni Antonio Mictil, MSN - CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

720306 Issued in NY

Practice address

66-4 Calle 53
Carolina, PR 00985-4926

Phone

(787) 233-5986

NPI assigned

Apr 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1942944012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-4 CALLE 53",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854926",
            "telephone_number": "787-233-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-4 CALLE 53",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854926",
            "telephone_number": "787-233-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICTIL",
        "first_name": "GIOVANNI",
        "middle_name": "ANTONIO",
        "credential": "MSN - CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "720306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan MRI Asssociates, PSC
• Metropolitan MRI, Assoc
• Metropolitanurology Group, Inc
• MFP Gastroenterology, LLC
• Michael Otero Anesthesia Services
• Midtown Radiology Services Inc
• Milab LLC
• Ismenio Millan-Aponte, MD
• Iris M Millan, RPH
• Millennium Vision Center PSC

• Certified Registered Nurse Anesthetist in Carolina, PR
• Providers in Carolina, PR by specialty
• Certified Registered Nurse Anesthetist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.