Gustavo Adolfo Altamar, M.D.
Individual provider Active NPI Internal Medicine Physician · Rio Piedras, PR
NPI 1992908461 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1992908461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 17448 (PR)
- Practice address
- Hospatal Municipal de San Juan
Centro Medico de Puerto Rico
Rio Piedras, PR 00936 - Phone
- (787) 765-5147
- Fax
- (787) 765-5147
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
BC12 Calle
Suite 13
Humacao, PR 00791-4328
Phone (787) 285-8100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091007000272 | PR | Practitioner - Internal Medicine | 6305982216 | Practice locations: Humacao, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17448 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Medical Management | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17448 | PR | Yes |
Addresses
Primary practice location
Hospatal Municipal de San Juan
Centro Medico de Puerto Rico
Rio Piedras, PR 00936
Mailing address
H-7 Villa Espana
Alcazar
Bayamon, PR 00961
Phone (787) 765-5147
Other providers in Rio Piedras, PR
- Jose Adorno
- Maria Cristina Alamo
- Yirelia Alejandro Cowan
- Maria J Alicea
- Laia Allende
- Milliette Alvarado-Santiago
- Elsa Maria Alvarez
- Huascar Jose Amador
- Ambulancias de Emergencias Inc Aei
- Joalex L Antongiorgi Torres
All providers in Rio Piedras, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.