Individual provider Active NPI

Mario Maldonado Ramirez, MD

  • Internal Medicine Physician
  • Corozal, PR
National Provider Identifier
1144204785
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7018 Issued in PR
Practice address
5 Calle San Manuel
Corozal, PR 00783-2086
Phone
(787) 859-0446
Fax
(787) 859-3873
NPI assigned
Dec 6, 2005
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7018 PR Primary

Addresses

Primary practice location

5 Calle San Manuel
Corozal, PR 00783-2086

Mailing address

PO Box 710
Calle San Manuel #5
Corozal, PR 00783-0710
Phone (787) 859-0446

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
I20120518000255 PR Practitioner - Internal Medicine 9739342361 Practice locations: Corozal, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7018PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1144204785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "address_2": "CALLE SAN MANUEL #5",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830710",
            "telephone_number": "787-859-0446",
            "fax_number": "787-859-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE SAN MANUEL",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832086",
            "telephone_number": "787-859-0446",
            "fax_number": "787-859-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO RAMIREZ",
        "first_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.