Mario A Haddad, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

9042 Issued in PR

Practice address

Torre Auxilio Mutuo Suite 413
San Juan, PR 00919

Phone

(787) 767-7885

Fax

(787) 767-5626

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• HG Medical Services PSC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1679994024
  Medicare reassignment Authorized official
• Juan Jose Bayron Justiniano, CSP

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1790181667
  NPD (past)
• Medicina Interna Caribe

  • Internal Medicine Physician
  • Las Lomas, PR
  • NPI 1073294500
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1750386652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1969",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701969",
            "telephone_number": "787-767-7885",
            "fax_number": "787-767-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO SUITE 413",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-767-7885",
            "fax_number": "787-767-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GYN Oncology Group PSC.
• Gyne-OB Medical LLC
• Gynecology & Endometriosis Center LLC
• Gynstetrics of Puerto Rico LLC
• H S Caribbean Medical Services
• Rosa L. Haddock-de-Jesus, M.D.
• Hector Alejandro Haddock-Martinez
• Karen M Haddock, CRNA
• Michelle Haddock
• Hair MD LLC

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.