Osvaldo Miguel Maeso, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2246 Issued in PR

Practice address

845 Calle Molucas
Country Club
San Juan, PR 00924-1755

Phone

(787) 757-1085

Fax

(787) 757-1405

NPI assigned

Mar 5, 2007

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477682433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 AVE. SUR APT. 10-12",
            "address_2": "THE RESIDENCES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-776-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CALLE MOLUCAS",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241755",
            "telephone_number": "787-757-1085",
            "fax_number": "787-757-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESO",
        "first_name": "OSVALDO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Maria Macias, D.M.D.
• Patrick Mackey, HS
• Ubaldo Rafael Madera Sanchez, M.D.
• Gabriel Alejandro Madera-Santiago
• Edwin Maeso-Gonzalez, MD
• Rosa Ana Maeso, OD
• Federico A Maestre Grau, MD
• Carlos C Maestre-Fernandez, M.D.
• Barbara Maestre, M.D.
• Magadme P.S.C.

• Dentist in San Juan, PR
• Providers in San Juan, PR by specialty
• Dentist 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.