Active NPI
Jose I Maysonet, MD
- General Practice Physician
- Trujillo Alto, PR
National Provider Identifier
1679774830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10294
- Practice address
- Pg121 Via Arcoiris
Trujillo Alto, PR 00976-6154 - Phone
- (787) 474-7346
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 10294 | PR | Primary |
Addresses
Primary practice location
Pg121 Via Arcoiris
Trujillo Alto, PR 00976-6154
Mailing address
Pg121 Via Arcoiris
Urb Pacifica Encantada
Trujillo Alto, PR 00976-6154
Phone (787) 474-7346
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Departamento de Salud Oficial | Current | Accepting new patients | |
| Departamento de Salud Oficial | Current | Accepting new patients | |
| Departamento de Salud Oficial | Current | Accepting new patients | |
| Community Health Care Network Corp. | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Centro de Salud Familiar Susana Centeno
- Rural Acute Care Hospital
- Vieques, PR
- NPI 1770703845
-
dba Centro de Salud Familar de Adjuntas
- Emergency Care Clinic/Center
- Adjuntas, PR
- NPI 1184827370
-
- Health Service Clinic/Center
- Mayaguez, PR
- NPI 1215061148
-
- General Practice Physician
- Carolina, PR
- NPI 1477516359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679774830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PG121 VIA ARCOIRIS",
"address_2": "URB PACIFICA ENCANTADA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766154",
"telephone_number": "787-474-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PG121 VIA ARCOIRIS",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766154",
"telephone_number": "787-474-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYSONET",
"first_name": "JOSE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.