Individual provider Active NPI

Patricia N Maymi-Castrodad, M.D.

  • Urology Physician
  • Bayamon, PR
National Provider Identifier
1760863757
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23002 Issued in PR
Practice address
100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028
Phone
(787) 780-0970
Fax
(787) 780-1660
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4351047413 MI
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 23002 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028

Mailing address

100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028
Phone (787) 780-0970

Other practice location 1

1500 E Medical Center Dr Spc 5330
Ann Arbor, MI 48109-5330
Phone (734) 763-9269

Other practice location 2

University District Hospital Pr Medical Ctr
Bo Monacillos
San Juan, PR 00935-0001
Phone (787) 647-3682

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
I20230920003943 PR Practitioner - Urology 4385098631 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Paseo San Pablo
Suite 410
Bayamon, PR 00961-7028
Phone (787) 780-0970

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351047413MIMDUrology Physician
23002PRMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2025 Accepting new patients
Recinto de Ciencias Medicas Urology CurrentSince Aug 1, 2025 Accepting new patients
FPRM CurrentSince Jul 31, 2023 Accepting new patients

Locations

100 Paseo San Pablo
Ste 410
Bayamon, PR 00961
Phone (787) 780-0970

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

BO Monacillos
San Juan, PR 00935

Interoperability endpoints

  • Direct secure messaging: patricia.maymicastrodad@1633.securemail.prognocis.com

Organizations & group practices 3

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1760863757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-780-0970",
            "fax_number": "787-780-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-780-0970",
            "fax_number": "787-780-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr Spc 5330",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095330",
            "country_code": "US",
            "telephone_number": "734-763-9269",
            "fax_number": "734-936-9127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University District Hospital Pr Medical Ctr",
            "address_2": "Bo Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-647-3682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYMI-CASTRODAD",
        "first_name": "PATRICIA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4351047413",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "23002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.