Individual provider Active NPI

Ismael Maldonado Torres, M.D.

  • Specialist
  • Santa Isabel, PR
National Provider Identifier
1174520605
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8032 Issued in PR
Practice address
Eugenio Maria de Hostos Street #18
Santa Isabel, PR 00757
Phone
(787) 845-7492
Fax
(787) 845-4933
NPI assigned
Jun 30, 2005
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8032 PR Primary

Addresses

Primary practice location

Eugenio Maria de Hostos Street #18
Santa Isabel, PR 00757

Mailing address

PO Box 801425
Coto Laurel, PR 00780-1425
Phone (787) 645-3405

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
I20070822001082 PR Practitioner - Internal Medicine 1557453560 Practice locations: Santa Isabel, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 D/E Maria de Hostos
Santa Isabel, PR 00759
Phone (787) 845-4933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8032PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos Asociados de Santa Isabel, C.S.P. PastSince Jun 25, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1174520605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801425",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801425",
            "telephone_number": "787-645-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EUGENIO MARIA DE HOSTOS STREET #18",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-7492",
            "fax_number": "787-845-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO TORRES",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.