Individual provider Active NPI

Edwin Omar Molina, M.D.

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1588014161
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21740 Issued in PR
Practice address
Sta Maria Building
Ste 302 Calle Ferrocarril 450
Ponce, PR 00717-0000
Phone
(877) 844-6669
Fax
(787) 844-6662
NPI assigned
Jun 15, 2016
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21740 PR Primary

Addresses

Primary practice location

Sta Maria Building
Ste 302 Calle Ferrocarril 450
Ponce, PR 00717-0000

Mailing address

Urb Terra Senorial
Calle Minorca #20
Ponce, PR 00730
Phone (787) 455-1653

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
I20210527000259 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749689594 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oficina Medica Dr Quintero PSCGroup PAC ID 4385699164, 2 clinicians

Practice addresses (Care Compare)

Santa Maria Medical BLDG
450 Ave Ferrocarril Suite 302
Ponce, PR 00717-1105
Phone (787) 844-6669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21740PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Medica Dr Quintero PSC CurrentSince Aug 14, 2023 Accepting new patients

Locations

2213 Ponce Byp
Ste 407
Ponce, PR 00717
Phone (787) 455-1653

450 Calle Ferrocarril
Ste 302
Ponce, PR 00717
Phone (877) 844-6669

Organizations & group practices 1

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1588014161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TERRA SENORIAL",
            "address_2": "CALLE MINORCA #20",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-455-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STA MARIA BUILDING",
            "address_2": "STE 302 CALLE FERROCARRIL 450",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170000",
            "telephone_number": "877-844-6669",
            "fax_number": "787-844-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "EDWIN",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-07-14",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "21740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.