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DR. MYRIAM GUADALUPE M.D.
NPI 1164413894
General Practice in Canovanas, PR

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
185 ST. KM.11.1 LOMAS COLES, CANOVANAS, PR 00729(787) 256-6300(787) 256-6300 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Myriam Guadalupe M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYRIAM GUADALUPE M.D. (NPI 1164413894) is an individual general practice provider in Canovanas, Puerto Rico, licensed in Puerto Rico (15992) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164413894
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MYRIAM GUADALUPECredential: M.D.
Location Address185 ST. KM.11.1 LOMAS COLESCanovanas, PR 00729-0729
Mailing AddressPo Box 799Rio Blanco, PR 00744-0799 · (787) 256-6300 · Fax (787) 256-6300
Phone(787) 256-6300
Fax(787) 256-6300
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1164413894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 15992
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Myriam Guadalupe M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153332283
PECOS Enrollment IDI20060605000178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myriam Guadalupe's NPI number?

The NPI number for Myriam Guadalupe is 1164413894. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Myriam Guadalupe located?

Myriam Guadalupe practices at 185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729. The listed phone number is (787) 256-6300.

What is Myriam Guadalupe's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Myriam Guadalupe enrolled in Medicare?

Yes. Myriam Guadalupe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Myriam Guadalupe was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.