Active NPI
Hector Alfonso Marcucci Maldonado, MD
- General Practice Physician
- Hatillo, PR
National Provider Identifier
1629832001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23636
- Practice address
- Carr 129 KM 14.9
Par Manuel Candelaria de Bayaney
Hatillo, PR 00659-1868 - Phone
- (787) 234-2057
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23636 | PR | Primary |
Addresses
Primary practice location
Carr 129 KM 14.9
Par Manuel Candelaria de Bayaney
Hatillo, PR 00659-1868
Mailing address
PO Box 141
Vega Baja, PR 00694-0141
Phone (787) 898-6422
Other practice location 1
371 Calle De Diego
San Juan, PR 00923-3002
Phone (787) 767-5100
Other practice location 2
199 St Km 0.3
Las Cumbres Ave
San Juan, PR 00926-5406
Phone (787) 302-5100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104003406 | PR | Practitioner - General Practice | 9931632593 | Practice locations: Hatillo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23636 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1629832001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006940141",
"telephone_number": "787-898-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129 KM 14.9",
"address_2": "PAR MANUEL CANDELARIA DE BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "006591868",
"telephone_number": "787-234-2057"
}
],
"practiceLocations": [
{
"address_1": "371 Calle De Diego",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009233002",
"country_code": "US",
"telephone_number": "787-767-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "199 St Km 0.3",
"address_2": "Las Cumbres Ave",
"address_purpose": "LOCATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265406",
"country_code": "US",
"telephone_number": "787-302-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCUCCI MALDONADO",
"first_name": "HECTOR",
"middle_name": "ALFONSO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.