Individual provider Active NPI

Federico A Maestre Grau, MD

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1679561047
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9085 Issued in PR
Practice address
357 Ave de la Constitucion
Puerta de Tierra
San Juan, PR 00901-2208
Phone
(787) 289-6600
Fax
(787) 289-6622
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9085 PR Primary

Addresses

Primary practice location

357 Ave de la Constitucion
Puerta de Tierra
San Juan, PR 00901-2208

Mailing address

PO Box 13953
San Juan, PR 00908-3953
Phone (787) 289-6600

Other names 1

  • Dr. Federico A Maestre Grau Professional name

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
I20110811000407 PR Practitioner - Ophthalmology 7416126255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ponce School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care of San Juan P S CGroup PAC ID 1355510199, 2 clinicians

Practice addresses (Care Compare)

357 Ave de la Constitucion
San Juan, PR 00901-2208
Phone (787) 289-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9085PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of San Juan P S C Ophthalmology CurrentSince May 11, 2011 Accepting new patients

Locations

357 Ave de la Constitucion
San Juan, PR 00901
Phone (787) 289-6600

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1679561047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13953",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083953",
            "telephone_number": "787-289-6600",
            "fax_number": "787-289-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 AVE DE LA CONSTITUCION",
            "address_2": "PUERTA DE TIERRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012208",
            "telephone_number": "787-289-6600",
            "fax_number": "787-289-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE GRAU",
        "first_name": "FEDERICO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEDERICO",
            "last_name": "MAESTRE GRAU",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.