Jorge Ballester Maldonado

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

19775 Issued in PR

Practice address

Carr 129 KM 1.0 Ave San Luis
Arecibo, PR 00613

Phone

(787) 680-7318

NPI assigned

Apr 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Arecibo Hospital, Arecibo, PR, CCN 400087
• Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Integrated Cardiovascular Solutions LLC

  • Cardiovascular Disease Physician
  • Arecibo, PR
  • NPI 1275208704

  Cardiovascular Disease, PR

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dr Susoni Health Community Services Corp

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1972531218

  Hospital

  Care Compare affiliation
• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1760878664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690317",
            "telephone_number": "787-680-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 1.0 AVE SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-680-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTER MALDONADO",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19775",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "19775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willmary Badillo Medina
• Mireya Baez-Rivera
• Paula Baez, SRNA
• Ismael Bague, M.D.
• Rebecca Caroline Baker, MSW
• Annette Marie Barbosa, PSY.D
• Gabriela Cristina Barrios, SLP M.D.
• Glorily Barroso
• Cleidy Joan Batista, OPT
• Elba Rosa Gonzalez Bauza, MD

• All providers in Arecibo, PR
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.