Active NPI
Pedro Juan Amador, MD
- Internal Medicine Physician
- Ponce, PR
National Provider Identifier
1407851306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13820
- Practice address
- Concordia 8118 Suite 210
Galeria Profesional
Ponce, PR 00717-2027 - Phone
- (787) 841-4684
- Fax
- (787) 984-1231
- NPI assigned
- Jun 16, 2005
- Last updated
- Jun 23, 2008
- 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 | 13820 | PR | Primary |
Addresses
Primary practice location
Concordia 8118 Suite 210
Galeria Profesional
Ponce, PR 00717-2027
Mailing address
Concordia 8118 Suite 210
Ponce, PR 00717-2027
Phone (787) 841-4684
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 |
|---|---|---|---|---|
| I20110601000636 | PR | Practitioner - Internal Medicine | 7719164615 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ponce School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8118
Suite 210
Ponce, PR 00717
Concordia
8118 Suite 210
Ponce, PR 00717
Phone (787) 841-4684
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponce Medical School Foundation Inc | Past | 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.
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1043208804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1407851306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONCORDIA 8118 SUITE 210",
"city": "PONCE",
"state": "PR",
"postal_code": "007172027",
"telephone_number": "787-841-4684",
"fax_number": "787-984-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONCORDIA 8118 SUITE 210",
"address_2": "GALERIA PROFESIONAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007172027",
"telephone_number": "787-841-4684",
"fax_number": "787-984-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "PEDRO",
"middle_name": "JUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "13820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.