Individual provider Active NPI

Jose M. Abreu Guzman, M.D.

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1982745816
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10993 Issued in PR
Practice address
10 Calle Patriota Pozo
Manati, PR 00674-5050
Phone
(787) 633-1724
Fax
(787) 897-5522
NPI assigned
Feb 12, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 10993 PR Primary

Addresses

Primary practice location

10 Calle Patriota Pozo
Manati, PR 00674-5050

Mailing address

10 Calle Patriota Pozo
Manati, PR 00674-5050
Phone (787) 633-1724

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
I20140709000621 PR Practitioner - General SurgeryPractitioner - General Practice 9830314707 Reassigns benefits to 1 organization
Practice locations: Manati, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Los Santos Clinic, LLC CurrentSince May 1, 2024 Accepting new patients
Villa Los Santos Clinic, LLC General Practice Current Accepting new patients
Villa Los Santos Clinic, LLC General Practice CurrentSince May 1, 2024 Accepting new patients

Locations

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

Organizations & group practices 3

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1982745816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE PATRIOTA POZO",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745050",
            "telephone_number": "787-633-1724",
            "fax_number": "787-897-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE PATRIOTA POZO",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745050",
            "telephone_number": "787-633-1724",
            "fax_number": "787-897-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU GUZMAN",
        "first_name": "JOSE M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.