Barbara Maestre, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

6686 Issued in PR

Practice address

255 Domenech Avenue
San Juan, PR 00918-0000

Phone

(787) 758-7836

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770691677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183510",
            "telephone_number": "787-758-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DOMENECH AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180000",
            "telephone_number": "787-758-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE",
        "first_name": "BARBARA",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "6686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6686",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. REG.",
            "identifier": "5910",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98243",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Maeso-Gonzalez, MD
• Osvaldo Miguel Maeso, DMD
• Rosa Ana Maeso, OD
• Federico A Maestre Grau, MD
• Carlos C Maestre-Fernandez, M.D.
• Magadme P.S.C.
• Magaly Flores Verdejo (Laboratorio Clinico Flores)
• Magic-Dental Inc.
• Magnetic Healer of PR, Inc
• Priscilla Magno, M.D.

• Anatomic Pathology & Clinical Pathology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.