Individual provider Active NPI

Jeannette Maldonado Carrero, M.D.

  • Anesthesiology Physician
  • Guaynabo, PR
National Provider Identifier
1174534721
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7952 Issued in PR
Practice address
Carr 165 KM 1.2 # 48
City View Plaza Suite 1010
Guaynabo, PR 00968
Phone
(787) 250-1708
Fax
(787) 758-9200
NPI assigned
Aug 10, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7952 PR Primary

Addresses

Primary practice location

Carr 165 KM 1.2 # 48
City View Plaza Suite 1010
Guaynabo, PR 00968

Mailing address

PO Box 366257
San Juan, PR 00936-6257
Phone (787) 250-1708

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
I20151123001965 PR Practitioner - Anesthesiology 2062712037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCP Anesthesia PSCGroup PAC ID 5395829428, 2 clinicians

Practice addresses (Care Compare)

City View Plaza 1010 Torre II
Carr 165 K.M 1.2 48
Guaynabo, PR 00968-8080
Phone (787) 292-9072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7952PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCP Anesthesia PSC Anesthesiology CurrentSince Sep 28, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcjmaldo@yourcarecommunity.org

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1174534721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366257",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366257",
            "telephone_number": "787-250-1708",
            "fax_number": "787-758-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 1.2 # 48",
            "address_2": "CITY VIEW PLAZA SUITE 1010",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-250-1708",
            "fax_number": "787-758-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO CARRERO",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "7952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.