Maria De Los a Tirado Otero, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9675 Issued in PR

Practice address

73 Calle Santa Cruz
Edif Medico Santa Cruz Suite 415
Bayamon, PR 00961-6910

Phone

(787) 269-6362

Fax

(787) 269-6363

NPI assigned

Mar 28, 2006

Last updated

Jul 22, 2022By 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

Specialty

General Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1265493647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9358",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609358",
            "telephone_number": "787-269-6362",
            "fax_number": "787-269-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIF MEDICO SANTA CRUZ SUITE 415",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-269-6362",
            "fax_number": "787-269-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO OTERO",
        "first_name": "MARIA",
        "middle_name": "DE LOS A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Kiddos 4 You
• Third Molar Inc
• Jacqueline J Thomas, ATOL
• Hector Antonio Tirado Davila Sr., MD
• Lourdes M Tirado Marrero, M.D.
• Ninoshka Tirado Perez, DC
• Edgardo Javier Tirado
• Keishla M Tirado
• Marienid Tirado, DPT
• Tina Marie Tirado

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, 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 Jul 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.