Active NPI
Madeline Santos-Carlo, MD
- Child & Adolescent Psychiatry Physician
- Bayamon, PR
National Provider Identifier
1073691994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 9661
- Practice address
- Carr #2 KM 119
Suite 102 Medical Ophthalmic Plaza
Bayamon, PR 00959 - Phone
- (787) 786-3340
- Fax
- (787) 786-3331
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 9661 | PR | Primary |
Addresses
Primary practice location
Carr #2 KM 119
Suite 102 Medical Ophthalmic Plaza
Bayamon, PR 00959
Mailing address
Quinta del Rio K6 Plaza 20
Bayamon, PR 00961
Phone (787) 786-3340
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110525000673 | PR | Practitioner - Psychiatry | 4082890140 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Medical Ophtalmic Plaza Carr
Suite 102
Bayamon, PR 00959
Phone (787) 786-3340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9661 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073691994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "QUINTA DEL RIO K6 PLAZA 20",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-786-3340",
"fax_number": "787-786-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 KM 119",
"address_2": "SUITE 102 MEDICAL OPHTHALMIC PLAZA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-786-3340",
"fax_number": "787-786-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS-CARLO",
"first_name": "MADELINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "9661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.