Freddy Antonio Madera, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

018992 Issued in PR

Practice address

Ave Hostos # 410
Carretera 2, Bo Sabalos
Mayaguez, PR 00682-6353

Phone

(787) 652-9200

NPI assigned

May 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Thoracic SurgeryAlso: Cardiac Electrophysiology, Cardiac Surgery, Cardiovascular Disease (Cardiology), General Surgery

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayaguez Medical Center Dr Ramon Emeterio Betances IncGroup PAC ID 8527107341, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Care Compare affiliation

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1568849859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810600",
            "telephone_number": "787-652-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS # 410",
            "address_2": "CARRETERA 2, BO SABALOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "FREDDY",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "018992",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PR",
            "license": "018992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melmarie Lugo
• Luis Farnando Luna, LICSW
• Luxottica of America Inc.
• M & B Internal Medicine Group P S C
• Ramon Antonio Machado, M.D.
• Victor Ramon Madera
• Sheila Yanira Maestre, PSY.D
• Jessica Nicole Maisonet Llanos
• Wilfredo Malave Morales, PHYSICIAN ASSISTANT
• Ronald Malave

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.