Active NPI
Pedro A Granados, M.D.
- Internal Medicine Physician
- Cayey, PR
National Provider Identifier
1356307631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14110
- Practice address
- 174 Calle Luis Barreras S
Cayey, PR 00736-4615 - Phone
- (787) 738-9988
- NPI assigned
- Apr 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14110 | PR | Primary |
Addresses
Primary practice location
174 Calle Luis Barreras S
Cayey, PR 00736-4615
Mailing address
153 Calle Maga
Cayey, PR 00736-5434
Phone (787) 535-7685
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7940026 | Other | PR | HUMANA |
| 500421 | Other | PR | MMM |
| 22054GR | Other | PR | TRIPLE S |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031205000164 | PR | Practitioner - Internal Medicine | 2860397478 | Practice locations: Cayey, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Edificio Professional
Cayey, PR 00737-2800
Phone (787) 263-7511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14110 | PR | MD | Occupational Health Registered Nurse |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356307631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 CALLE MAGA",
"city": "CAYEY",
"state": "PR",
"postal_code": "007365434",
"telephone_number": "787-535-7685",
"fax_number": "787-535-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 CALLE LUIS BARRERAS S",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364615",
"telephone_number": "787-738-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS",
"first_name": "PEDRO",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "14110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7940026",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "500421",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "22054GR",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
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- Marie D Gonzalez, MD
- Mildred Gonzalez
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- Grand Savia LLC (Max's Department Store #3)
- Grupo Dental Dr Jose M Feliu Bae PSC
- Grupo Dental Dr Jose M Feliu, PSC
- Grupo Medico de la Montana, Inc.
- Grupo Medico Integrado de Cancer de Puerto Rico LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.