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Deactivated NPI 1467167502 Deactivated / Inactive NPI Male Practitioner

Daoud Otoman Mustafa

General Practice • Arecibo, PR

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daoud Otoman Mustafa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2023
NPI Deactivation Date April 19, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Daoud Otoman Mustafa was a registered General Practice practicing in Arecibo, PR. Throughout an active medical career spanning 2 years, Daoud Otoman Mustafa provided care at the practice location at 55 CALLE PALMA # 614 until profile deactivation on 2024-04-19.

Daoud Otoman Mustafa was affiliated with Emergency Physician Providers Llc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

55 Calle Palma # 614

Arecibo, PR 006124526

Telephone 7873612330
Associated Practice Facility / Clinic
🏢 Helwe Csp Facility NPI 1447579545

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Arecibo, PR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -22.8 yrs vs City Avg
City Avg: 26.8 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
147 Specialists

Practicing in Arecibo, PR (4449 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otoman Mustafa (4 Years) 4 Yrs
Arecibo Specialty Average (26.8 Years) 26.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 23765

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Emergency Physician Providers Llc

55 Calle Palma, Arecibo, PR 006124526

Phone: 7874360727

Secondary Practice Locations

Hato Abajo, Arecibo, 00612, Puerto Rico

Arecibo, PR 006140061

Phone: 7873612330

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2024

General Practice (License #23765 in PR)

📍
Updated Practice Location June 03, 2024

Registered at 55 CALLE PALMA # 614, ARECIBO, PR 006124526 (Tel: 7873612330)

📍
Updated Business Mailing Address June 03, 2024

Registered at PO BOX 1749, HATILLO, PR 006598749 (Tel: 7873612330)

👤
Provider Name / Credentials Updated June 03, 2024

Recorded as DAOUD OTOMAN MUSTAFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

General Practice (License #16486 in PR)

⚠️
NPI Profile Deactivated April 19, 2024

Record deactivated on April 19, 2024

NPI Profile Active January 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2023

Registered at 55 CALLE PALMA # 614, ARECIBO, PR 006124526 (Tel: 7873612330)

📍
Updated Business Mailing Address January 23, 2023

Registered at PO BOX 1749, HATILLO, PR 006598749 (Tel: 7873612330)

👤
Provider Name / Credentials Updated January 23, 2023

Recorded as DAOUD OTOMAN MUSTAFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2023

General Practice (License #16486 in PR)

🟢
Initial NPI Registration & Enumeration January 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467167502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2023
Last Update: November 22, 2024
Deactivation Date: April 19, 2024
Sole Proprietor: No

Mailing Address

Po Box 1749

Hatillo, PR 006598749

Phone: 7873612330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.