Individual provider Active NPI

Gladys Amely Ramos-Maldonado

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1497873491
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16708 Issued in PR
Practice address
311 Ave Domenech
San Juan, PR 00918-3511
Phone
(787) 756-8370
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 16708 PR Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X 16708 PA

Addresses

Primary practice location

311 Ave Domenech
San Juan, PR 00918-3511

Mailing address

690 Calle Cesar Gonzalez Apt 907
Cond Parque de Las Fuentes
San Juan, PR 00918-3909
Phone (787) 756-8370

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000728 PR Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 4486701398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Centro Medico de PR
Bo Monacillos Adm de Servicios Medicos
Rio Piedras, PR 00935
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16708PRMDOrthopaedic Surgery Physician
16708PAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 2, 2011 Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery CurrentSince Oct 2, 2011 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Centro Medico
San Juan, PR 00935
Phone (787) 560-2098

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1497873491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CALLE CESAR GONZALEZ APT 907",
            "address_2": "COND PARQUE DE LAS FUENTES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183909",
            "telephone_number": "787-756-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183511",
            "telephone_number": "787-756-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-MALDONADO",
        "first_name": "GLADYS",
        "middle_name": "AMELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "16708",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "PA",
            "license": "16708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.