Individual provider Active NPI

Jorge Latoni Maldonado

  • Plastic Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1184614489
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
11812 Issued in PR
Practice address
#27 Nelson Perea Norte S-15
Doctors Center
Mayaguez, PR 00682
Phone
(787) 831-1000
Fax
(787) 831-1014
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 11812 PR Primary

Addresses

Primary practice location

#27 Nelson Perea Norte S-15
Doctors Center
Mayaguez, PR 00682

Mailing address

PO Box 1856
Mayaguez, PR 00681-1856
Phone (787) 831-1000

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
I20120220000689 PR Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 0446418669 Practice locations: Aguadilla, PR; Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Nelson Perea St
Edif Doctor'S Center Suite 105
Mayaguez, PR 00680-4949
Phone (787) 831-1000

Hospital & facility affiliations

  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Latoni Plasticand Reconstructive Surgery PSC Past Accepting new patients
Mercado Dermatology LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184614489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1856",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811856",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#27 NELSON PEREA NORTE S-15",
            "address_2": "DOCTORS CENTER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONI MALDONADO",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.