Individual provider Active NPI

Pedro Juan Claudio, MD

  • Adult Medicine Physician
  • Carolina, PR
National Provider Identifier
1245370279
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
14770 Issued in PR
Practice address
Hospital Upr #3 Street KM 8.3
65 Infantery Ave
Carolina, PR 00984-6021
Phone
(787) 757-1800
Fax
(787) 750-0215
NPI assigned
Feb 7, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Adult Medicine Physician 207QA0505X 14770 PR Primary

Addresses

Primary practice location

Hospital Upr #3 Street KM 8.3
65 Infantery Ave
Carolina, PR 00984-6021

Mailing address

HC 1 Box 5123
Canovanas, PR 00729-9744
Phone (787) 256-7843

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
I20040129000844 PR Practitioner - Family PracticePractitioner - General Practice 5799688446 Reassigns benefits to 3 organizations
Practice locations: Loiza, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Carr
188 187
Loiza, PR 00772-1850
Phone (787) 876-2042

Urb Lago Alto
Calle Carite 130
Trujillo Alto, PR 00976-6007
Phone 78773723112058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14770PRMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince May 11, 2024 Accepting new patients
Recinto de Ciencias Medicas Family Medicine CurrentSince Apr 10, 2010 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Apr 10, 2010 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. Family Medicine CurrentSince Jun 30, 2021 Accepting new patients
Neomed Center, Inc CurrentSince May 11, 2024 Accepting new patients

Locations

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

Organizations & group practices 6

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245370279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5123",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299744",
            "telephone_number": "787-256-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL UPR #3 STREET KM 8.3",
            "address_2": "65 INFANTERY AVE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846021",
            "telephone_number": "787-757-1800",
            "fax_number": "787-750-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO",
        "first_name": "PEDRO",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "14770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.