Dr. Gil Maldonado Manzanet, CSP

Organization Active NPI Health Service Clinic/Center · Barceloneta, PR

NPI 1497577985 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1497577985
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
DR. GIL MALDONADO MANZANET, CSP
Practice address
C67 Calle Georgetti
Urb Catalana
Barceloneta, PR 00617
Phone
(787) 222-9263
NPI assigned
Oct 28, 2024
Organization subpart
No

Authorized official

Name
Dr. Gil Maldonado
Title
Presdidente
Phone
(787) 222-9263

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210112001107 PR Part B Supplier - Clinic/Group Practice 5496168452 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Barceloneta, PR; Vega Baja, PR

National Provider Directory

Tax ID family
Dr Gil Maldonado Manzanet CSP (2 organizations share this tax ID)

Locations

42 Calle Jose Julian Acosta
Vega Baja, PR 00693
Phone (787) 623-2526

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

C67 Calle Georgetti
Urb Catalana
Barceloneta, PR 00617

Mailing address

PO Box 315
Barceloneta, PR 00617-0315

Other practice location 1

42 Calle J J Acosta
Vega Baja, PR 00693-4467
Phone (787) 663-0717

Other providers in Barceloneta, PR

All providers in Barceloneta, PR · Health Service Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.