Individual provider Active NPI

Joseph Maldonado Suarez, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1407303373
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22823 Issued in PR
Practice address
105 Ave Arterial Hostos
Condominio Baysidecove Apartment B302
Sanjuan, PR 00918
Phone
(787) 356-6718
NPI assigned
Sep 8, 2016
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22823 PR Primary

Addresses

Primary practice location

105 Ave Arterial Hostos
Condominio Baysidecove Apartment B302
Sanjuan, PR 00918

Mailing address

PO Box 1857
Hatillo, PR 00659-8857
Phone (787) 356-6718

Other practice location 1

Bayamon Medical Center
Bayamon Medical Plaza Suite 705
Bayamon, PR 00959
Phone (787) 918-0066

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
I20230130000050 PR Practitioner - Internal Medicine 9133590235 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pci Group LLC CurrentSince Dec 9, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1407303373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1857",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598857",
            "telephone_number": "787-356-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AVE ARTERIAL HOSTOS",
            "address_2": "CONDOMINIO BAYSIDECOVE APARTMENT B302",
            "city": "SANJUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-356-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BAYAMON MEDICAL CENTER",
            "address_2": "Bayamon Medical Plaza Suite 705",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-918-0066",
            "fax_number": "787-918-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO SUAREZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.