Active NPI
Mayra D Bidot, MD
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1093997793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9542
- Practice address
- 14 Calle R Martinez Nadal S
Mayaguez, PR 00680-4927 - Phone
- (787) 265-4610
- Fax
- (787) 265-4610
- NPI assigned
- Dec 4, 2007
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9542 | PR | Primary |
Addresses
Primary practice location
14 Calle R Martinez Nadal S
Mayaguez, PR 00680-4927
Mailing address
14 Calle R Martinez Nadal S
Mayaguez, PR 00680-4927
Phone (787) 265-4610
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 |
|---|---|---|---|---|
| I20110525000755 | PR | Practitioner - General Practice | 4587840657 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bidot Preventive Medicine CSP | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Mayaguez, PR
- NPI 1356421549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1093997793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CALLE R MARTINEZ NADAL S",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804927",
"telephone_number": "787-265-4610",
"fax_number": "787-255-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CALLE R MARTINEZ NADAL S",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804927",
"telephone_number": "787-265-4610",
"fax_number": "787-265-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDOT",
"first_name": "MAYRA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Carmen L Berrios, MD
- Alejandro Javier Berrocal Bravo, MD
- Fabiola Andrea Berrocal, CCC-SLP
- Best Emergency Treatment Solutions Inc
- Bidot Preventive Medicine CSP
- Bienestar Emocional
- Bilingual Dietitian LLC
- Bio-Medical Applications of Mayaguez, Inc. (Bma Mayaguez)
- Bio-Medical Applications of Puerto Rico, Inc. (FMC Dialysis Services North Mayaguez Renal Center)
- Bioimagenes Medicas CSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.