Organization Active NPI

MMT Neurosurgery PSC

  • Neurological Surgery Physician
  • Caguas, PR
National Provider Identifier
1972051365
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14011 Issued in PR
Legal business name
MMT NEUROSURGERY PSC
Practice address
Hima Hospital
Torre Hima Suite 706
Caguas, PR 00725
Phone
(787) 653-3434
Fax
(787) 653-3527
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mr. Gustavo J Nogales
Title
Administrator
Phone
(787) 378-6773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 14011 PR Primary

Addresses

Primary practice location

Hima Hospital
Torre Hima Suite 706
Caguas, PR 00725

Mailing address

E17 Calle 1
Paseo Mayor
San Juan, PR 00926-4669
Phone (787) 963-0039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1972051365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E17 CALLE 1",
            "address_2": "PASEO MAYOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264669",
            "telephone_number": "787-963-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA HOSPITAL",
            "address_2": "TORRE HIMA SUITE 706",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-3434",
            "fax_number": "787-653-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMT NEUROSURGERY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "NOGALES",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-378-6773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "14011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.