Organization Active NPI

M&P Care at Home CSP

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1568516201
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
M&P CARE AT HOME CSP
Practice address
611 Calle Manuel Pavia
Ste 213
San Juan, PR 00910
Phone
(787) 276-5355
Fax
(787) 722-2170
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Neil Maldonado, MDNPI 1326003732
Title
Presidente
Phone
(787) 276-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

611 Calle Manuel Pavia
Ste 213
San Juan, PR 00910

Mailing address

PO Box 6578
Loiza State Station
San Juan, PR 00914-6578
Phone (787) 276-5355

Other identifiers 4

IdentifierTypeStateIssuer
7326OtherPRAMERICAN HEALTH MEDICARE
57715OtherPRTRIPLE S OPTIMO
57715OtherPRTRIPLE S
601439OtherPRMEDICARE Y MUCHO MAS

National Provider Directory

National Provider Directory

Locations

611 Calle Pavia
Ste 213
Santurce, PR 00909
Phone (787) 268-1300

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1568516201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "address_2": "LOIZA STATE STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146578",
            "telephone_number": "787-276-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE MANUEL PAVIA",
            "address_2": "STE 213",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-276-5355",
            "fax_number": "787-722-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&P CARE AT HOME CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-276-5355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "7326",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S OPTIMO",
            "identifier": "57715",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57715",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "601439",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.