Carlos Maisonet, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10947 Issued in PR

Practice address

400 Calle Gran Ausubo
Toa Alta, PR 00953-4887

Phone

(787) 799-9119

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By 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.

• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Hato Rey

  • Emergency Care Clinic/Center
  • Hato Rey, PR
  • NPI 1154537546
  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396863239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAN AUSUBO, CIUDAD JARDIN",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-799-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CALLE GRAN AUSUBO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534887",
            "telephone_number": "787-799-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISONET",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalis Lopez Ramos, MS, CCC/SLP
• Carmen B Lopez-Perez, OTR
• Carmen Lopez, MD, MPH
• David Lopez
• Yanitza Lozano-Cosme, LND
• Frank J Malave Perez
• Shirley Maldonado, PSYCHOLOGIST
• Christine Marie Mallens, OPTICIAN
• Ana F Maltes, MD
• Management Integrated Solutions

• General Practice Physician in Toa Alta, PR
• Providers in Toa Alta, 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 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.