Individual provider Active NPI

Pedro Antonio Mariani Molini Sr., MD

  • General Practice Physician
  • Boqueron, PR
National Provider Identifier
1013000181
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15185 Issued in PR
Practice address
Car 101 KM 16-2 Sector Los Arenas
Boqueron, PR 00623
Phone
(787) 255-2775
Fax
(787) 254-1920
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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 15185 PR Primary

Addresses

Primary practice location

Car 101 KM 16-2 Sector Los Arenas
Boqueron, PR 00623

Mailing address

PO Box 5103
PMB 72
Cabo Rojo, PR 00623
Phone (787) 255-2775

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
I20050127000029 PR Practitioner - General Practice 9133179179 Reassigns benefits to 1 organization
Practice locations: Boqueron, PR; Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 101 KM
2 Sector Las Arenas
Boqueron, PR 00622-0000
Phone (787) 255-2775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15185PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc CurrentSince Nov 2, 2015 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Nov 2, 2015 Accepting new patients

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1013000181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5103",
            "address_2": "PMB 72",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-2775",
            "fax_number": "787-254-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 101 KM 16-2 SECTOR LOS ARENAS",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-2775",
            "fax_number": "787-254-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI MOLINI",
        "first_name": "PEDRO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boqueron, PR

Sources for this page

Verify at the official NPI Registry.