Maridoli Caceres Kianes, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

019823 Issued in PR

Practice address

Urb Estancias de Monte Rio
Box 99
Cayey, PR 00736-0073

Phone

(787) 535-3826

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1194233601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DE MONTE RIO",
            "address_2": "BOX 99",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-535-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DE MONTE RIO",
            "address_2": "BOX 99",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007360073",
            "telephone_number": "787-535-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES KIANES",
        "first_name": "MARIDOLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breast Cancer Institute C S P (Advanced Breast Center)
• Yelitza Bultron Ortiz, LND
• Burgos Miranda Inc (Farmacia Mi Familia)
• Maria Burgos, PHARM D
• Sandra M Burgos
• Carlos Enrique Calderon Valero, MD
• Brenda Camacho Perez, RPH
• Andrea Camarena Sainz
• Zulmari Campos Santiago, M.D.
• Cardivascular Amb Clinic

• General Practice Physician in Cayey, PR
• Providers in Cayey, 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 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.