Ricardo Estrada Maisonet, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1203622 Issued in PR

Practice address

Carr. 853 KM 11.5 Bo. Barrazas
Carolina, PR 00985

Phone

(787) 854-3322

Fax

(787) 884-0178

NPI assigned

Aug 28, 2007

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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.

• De Diego Ambulatory Clinic Corp

  dba CDT San Juan Medical Plaza

  • Emergency Care Clinic/Center
  • San Juan, PR
  • NPI 1134168354
  Medicare reassignment NPD
• Neomed Center, Inc

  dba NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment NPD
• De Diego Ambulatory Clinic Corp

  • Body Imaging Physician
  • San Juan, PR
  • NPI 1053052852
  NPD
• Neomed Center, Inc

  dba Neomed Center-GU-Laboratory

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Neomed Center, Inc.

  dba NeoMed Center - Gurabo Urgent Care

  • Urgent Care Clinic/Center
  • Gurabo, PR
  • NPI 1912384678
  NPD
• Doctors Center Hospital Carolina LLC

  • Urgent Care Clinic/Center
  • Carolina, PR
  • NPI 1952897472
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1306030838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB # 267 CALLE SIERRA MORENA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-444-6966",
            "fax_number": "787-748-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 853 KM 11.5 BO. BARRAZAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-854-3322",
            "fax_number": "787-884-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA MAISONET",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "1203622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Espejuelos Online PR.
• Essentia Naturopathic & Integrative Medicine LLC
• Estancia Homecare, Inc.
• Jessica Estrada Carreras, MS, SLP
• Brian Estrada Cora, PHD
• Fidel Estrada, DC
• Joel Estrada, M.T.
• Yajaira Mary Estrella-Osorio
• Etel Corporation
• Evolution Ambulance Inc.

• General Practice Physician in Carolina, PR
• Providers in Carolina, 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 15, 2020; 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.