Guillermo J Pastrana Maisonet, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18300 Issued in PR

Practice address

505 Ave Hostos
San Juan, PR 00918-3201

Phone

(787) 902-6631

Fax

(787) 339-2700

NPI assigned

Aug 11, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pastrana Toledo Medical Group, LLCGroup PAC ID 1759793664, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pastrana Toledo Medical Group, LLC

  • General Practice Physician
  • San Juan, PR
  • NPI 1922609650
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1124307814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8578",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100578",
            "telephone_number": "787-488-0292",
            "fax_number": "939-355-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183201",
            "telephone_number": "787-902-6631",
            "fax_number": "787-339-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA MAISONET",
        "first_name": "GUILLERMO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSE NUMBER",
            "identifier": "18300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeamarie Pascual-Marrero, M.D.
• Paseos Medicine Clinic, C.S.P.
• Oujayra Pastiana Garcia, PHARMACY TECHNICIAN
• Carmen J Pastor, PHT.
• Manuel Josue Pastrana Arroyo, MD
• Elisamuel Pastrana Pasarell
• Pastrana Toledo Medical Group, LLC
• Carmen Pastrana, PH.D
• Edwin G Pastrana
• Naisha Pastrana, MSW

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.

Verify at the official NPI Registry.