Individual provider Active NPI

Amarilys Maldonado, M.D.

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1235339367
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10771 Issued in PR
Practice address
Ave Luis Munoz Marin
Suite 202
Caguas, PR 00725-4081
Phone
(787) 746-1688
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10771 PR Primary

Addresses

Primary practice location

Ave Luis Munoz Marin
Suite 202
Caguas, PR 00725-4081

Mailing address

PO Box 9446
San Juan, PR 00908-0446
Phone (787) 746-1688

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
I20130619000267 PR Practitioner - Diagnostic Radiology 1850530023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians
Radiologia del Turabo, C.S.P.Group PAC ID 7810134699, 11 clinicians

Practice addresses (Care Compare)

50 Ave L Munoz Marin
Caguas, PR 00725-3975
Phone 7877461688240

50 Ave Luis Munoz
Suite 209
Caguas, PR 00725-3981
Phone 7877461688240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10771PRMDDiagnostic Radiology Physician

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, 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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1235339367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9446",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080446",
            "telephone_number": "787-746-1688",
            "fax_number": "787-731-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN",
            "address_2": "SUITE 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254081",
            "telephone_number": "787-746-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AMARILYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.