Individual provider Active NPI

Antonio Declet Manzanet, MD

  • Family Medicine Physician
  • Adjuntas, PR
National Provider Identifier
1982649539
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5393 Issued in PR
Practice address
20 Calle Rius Rivera
Adjuntas, PR 00601-2337
Phone
(787) 829-4476
Fax
(787) 829-2569
NPI assigned
Jun 18, 2006
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5393 PR
Family Medicine Physician 207Q00000X 5393 PR Primary

Addresses

Primary practice location

20 Calle Rius Rivera
Adjuntas, PR 00601-2337

Mailing address

20 Calle Rius Rivera
Adjuntas, PR 00601-2337
Phone (787) 829-4476

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
I20101230000931 PR Practitioner - General Practice 0749478022 Practice locations: Adjuntas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5393PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Dr. Antonio Declet, Inc Current Accepting new patients

Locations

20 Calle Rius Rivera
Adjuntas, PR 00601
Phone (787) 829-2569

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1982649539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CALLE RIUS RIVERA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012337",
            "telephone_number": "787-829-4476",
            "fax_number": "787-829-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE RIUS RIVERA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012337",
            "telephone_number": "787-829-4476",
            "fax_number": "787-829-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLET MANZANET",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "5393",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adjuntas, PR

Sources for this page

Verify at the official NPI Registry.