Individual provider Active NPI

Magali Madera Zayas, M.D

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1306961404
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15094 Issued in PR
Practice address
Carr 119 KM 6.1 Bo Puente
Edificio Mendez
Camuy, PR 00627-0000
Phone
(787) 814-8049
Fax
(787) 814-8048
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15094 PR Primary

Addresses

Primary practice location

Carr 119 KM 6.1 Bo Puente
Edificio Mendez
Camuy, PR 00627-0000

Mailing address

PO Box 9548
Arecibo, PR 00613-9548
Phone (787) 814-8049

Other identifiers 1

IdentifierTypeStateIssuer
1306961404OtherPRNPI

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
I20040911000292 PR Practitioner - General Practice 4082681861 Reassigns benefits to 1 organization
Practice locations: Camuy, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15094PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madera Medical LLC General Practice CurrentSince Aug 23, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1306961404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9548",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139548",
            "telephone_number": "787-814-8049",
            "fax_number": "787-814-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 119 KM 6.1 BO PUENTE",
            "address_2": "EDIFICIO MENDEZ",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270000",
            "telephone_number": "787-814-8049",
            "fax_number": "787-814-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA ZAYAS",
        "first_name": "MAGALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306961404",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.