Individual provider Active NPI

Mario Rodrigo Almanza, M.D.

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1972822542
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17,924 Issued in PR
Practice address
118 Calle Hilda
Aguadilla, PR 00603-5720
Phone
(787) 376-7492
NPI assigned
May 21, 2010
Last updated
May 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17,924 PR Primary

Addresses

Primary practice location

118 Calle Hilda
Aguadilla, PR 00603-5720

Mailing address

118 Calle Hilda
Aguadilla, PR 00603-5720
Phone (787) 376-7492

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
I20101109000447 PR Practitioner - General Practice 5597950170 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17,924PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1972822542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CALLE HILDA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035720",
            "telephone_number": "787-376-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CALLE HILDA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035720",
            "telephone_number": "787-376-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANZA",
        "first_name": "MARIO",
        "middle_name": "RODRIGO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.