Individual provider Active NPI

Eduardo Rafael Salguero-Villanueva, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1992080212
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
018335 Issued in PR
Practice address
Plaza del Carmen Mall #24
Calle Pino / Carr 172
Caguas, PR 00725
Phone
(787) 286-6060
Fax
(787) 286-6161
NPI assigned
Oct 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 018335 PR Primary

Addresses

Primary practice location

Plaza del Carmen Mall #24
Calle Pino / Carr 172
Caguas, PR 00725

Mailing address

PO Box 9021257
Centro de Oncologia Integral
San Juan, PR 00902-1257
Phone (787) 250-7338

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
I20120201000397 PR Practitioner - General Practice 4981861093 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018335PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Ambulatory Services Inc-Cayey CurrentSince Jun 1, 2021 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. General Practice Current Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Jun 10, 2023 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Jun 10, 2023 Accepting new patients
Insthematoncomedica Past Accepting new patients
Sar Medical Services LLC General Practice PastSince Oct 27, 2019 Accepting new patients
Sick Blood Med Serv CSP Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1992080212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9021257",
            "address_2": "CENTRO DE ONCOLOGIA INTEGRAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009021257",
            "telephone_number": "787-250-7338",
            "fax_number": "787-705-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARMEN MALL #24",
            "address_2": "CALLE PINO / CARR 172",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-286-6060",
            "fax_number": "787-286-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGUERO-VILLANUEVA",
        "first_name": "EDUARDO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.