Active NPI
Mervin Sanchez-Maldonado
- Health Maintenance Organization
- Aguadilla, PR
National Provider Identifier
1396310439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 536 Ave Victoria Ubr Garcia
Aguadilla, PR 00603 - Phone
- (787) 658-6218
- Fax
- (787) 658-7116
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | PR | Primary |
Addresses
Primary practice location
536 Ave Victoria Ubr Garcia
Aguadilla, PR 00603
Mailing address
Urb Monte Claro Ma-36
Plaza 7
Bayamon, PR 00961
Phone (787) 658-6218
Other practice location 1
B11 Calle Santa Cruz
Bayamon, PR 00961-6955
Phone (787) 658-6218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SYNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Dr. Hector Tirado CSP | Current | Accepting new patients | |
| Asociacion de Medicos de Puerto Rico Ms Inc | Current | Accepting new patients | |
| Asociacion de Medicos de Puerto Rico Ms Inc | Health Maintenance Organization | Current | Accepting new patients |
| Asociacion de Medicos de PR Ms Inc | Health Maintenance Organization | Current | Accepting new patients |
Locations
536 Ave Victoria
Aguadilla, PR 00603
Phone (787) 509-7401
B11 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 658-6218
Organizations & group practices 4
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.
-
- General Practice Physician
- Aguadilla, PR
- NPI 1659009298
-
- Health Maintenance Organization
- Bayamon, PR
- NPI 1932878121
-
- Health Maintenance Organization
- Bayamon, PR
- NPI 1891310843
-
- General Practice Physician
- Comerio, PR
- NPI 1881466704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1396310439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB MONTE CLARO MA-36",
"address_2": "PLAZA 7",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-658-6218",
"fax_number": "787-658-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 AVE VICTORIA UBR GARCIA",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-658-6218",
"fax_number": "787-658-7116"
}
],
"practiceLocations": [
{
"address_1": "B11 Calle Santa Cruz",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009616955",
"country_code": "US",
"telephone_number": "787-658-6218",
"fax_number": "787-658-7116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ-MALDONADO",
"first_name": "MERVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SYNC",
"affiliation": "N",
"address_1": "536 AVE VICTORIA UBR GARCIA",
"city": "AGUADILLA",
"state": "PR",
"country_code": "US",
"postal_code": "00603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.