Active NPI
Neurocritical Care Physician
- Neurocritical Care Physician
- Caguas, PR
National Provider Identifier
1407629918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- Legal business name
- NEUROCRITICAL CARE PHYSICIAN
- Practice address
- Hospital Metro Pavia
100 Ave Luis Munoz Marin
Caguas, PR 00725 - Phone
- (787) 653-3434
- NPI assigned
- Nov 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hiram J Maldonado Quintana, MD
- Title
- President
- Phone
- (787) 248-0342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | Primary |
Addresses
Primary practice location
Hospital Metro Pavia
100 Ave Luis Munoz Marin
Caguas, PR 00725
Mailing address
PO Box 333
Carolina, PR 00986-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurocritical Care Physician
- Caguas, PR
- NPI 1942570064
-
- Surgical Critical Care Physician
- Caguas, PR
- NPI 1538560206
-
- Critical Care Medicine (Internal Medicine) Physician
- Caguas, PR
- NPI 1457795072
-
- Critical Care Medicine (Internal Medicine) Physician
- San Jaun, PR
- NPI 1619226578
-
- Nephrology Physician
- Ponce, PR
- NPI 1891177424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1407629918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 333",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009860333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL METRO PAVIA",
"address_2": "100 AVE LUIS MUNOZ MARIN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-653-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCRITICAL CARE PHYSICIAN",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "MALDONADO QUINTANA",
"authorized_official_first_name": "HIRAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-248-0342",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.