NPIMap

Individual provider Active NPI

Carlos I Maldonado Santos, M.D.

  • Psychiatry Physician
  • Bayamon, PR
National Provider Identifier
1467649905
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18269 Issued in PR
Practice address
Medical Ophthalmic Plaza Suite 101
Carr. #2 KM. 11.9
Bayamon, PR 00959
Phone
(787) 787-0250
NPI assigned
Sep 28, 2007
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18269 PR Primary

Addresses

Primary practice location

Medical Ophthalmic Plaza Suite 101
Carr. #2 KM. 11.9
Bayamon, PR 00959

Mailing address

Medical Ophthalmic Plaza Suite 101
Carr. #2 KM. 11.9
Bayamon, PR 00959
Phone (787) 787-0250

Other names 1

  • Dr. Carlos I Maldonado Santos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000651 PR Practitioner - Psychiatry 1052638236 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18269PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Mar 24, 2020 Accepting new patients
Mennonite General Hospital, Inc CurrentSince Mar 24, 2020 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients
Centro de Salud Conductual Menonita Cima Past Accepting new patients
Mennonite General Hospital Inc. Past Accepting new patients
Mennonite General Hospital,Inc Past Accepting new patients

Organizations & group practices 7

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1467649905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA SUITE 101",
            "address_2": "CARR. #2 KM. 11.9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA SUITE 101",
            "address_2": "CARR. #2 KM. 11.9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO SANTOS",
        "first_name": "CARLOS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "MALDONADO SANTOS",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.