Individual provider Active NPI

Miguel F Godreau Negron, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1992803589
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4046 Issued in PR
Practice address
Hospital San Francisco
Ave. de Diego 369 Suite 404
San Juan, PR 00923
Phone
(787) 282-8112
Fax
(787) 765-3177
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4046 PR Primary

Addresses

Primary practice location

Hospital San Francisco
Ave. de Diego 369 Suite 404
San Juan, PR 00923

Mailing address

1773 Calle Compostela
College Park
San Juan, PR 00921-4328
Phone (787) 250-7678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4046PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1992803589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 CALLE COMPOSTELA",
            "address_2": "COLLEGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214328",
            "telephone_number": "787-250-7678",
            "fax_number": "787-765-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN FRANCISCO",
            "address_2": "AVE. DE DIEGO 369 SUITE 404",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-282-8112",
            "fax_number": "787-765-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODREAU NEGRON",
        "first_name": "MIGUEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "4046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.