Madera Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MADERA MEDICAL LLC

Practice address

Edif Mendez Carr 119 KM 6.1
Bo Puente
Camuy, PR 00627

Phone

(787) 814-8049

Fax

(787) 814-8048

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Magali Madera, MD

Title

Medical Doctor

Phone

(787) 814-8049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Magali Madera Zayas, M.D

  • General Practice Physician
  • Camuy, PR
  • NPI 1306961404
  Medicare reassignment NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1629755376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9548",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139548",
            "telephone_number": "787-614-2511",
            "fax_number": "787-814-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MENDEZ CARR 119 KM 6.1",
            "address_2": "BO PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-814-8049",
            "fax_number": "787-814-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "MADERA",
        "authorized_official_first_name": "MAGALI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "787-814-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luciano Roman Gonzalez
• Ettienne Lugo Delgado, O.D.
• Karen D Lugo, PHARMD
• Patria M Lugo, RPH
• Willie Dionisio Lugo
• Magali Madera Zayas, M.D
• Virmary Maldonado Arroyo, MSW
• Juan R Marin Espiet
• Mario Chabrier Perez Mario Chabrier Perez MD
• Marla'S Medical Equipment, Corp.

• General Practice Physician in Camuy, PR
• Providers in Camuy, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.