Individual provider Active NPI

Gil Maldonado Manzanet, DC

  • Chiropractor
  • Barceloneta, PR
National Provider Identifier
1790915650
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
461 Issued in PR
Practice address
1 Calle Tomas Davila
CDT-TMG Medical Group C.S.P.
Barceloneta, PR 00617-2798
Phone
(787) 222-9263
NPI assigned
Jul 24, 2009
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 461 PR Primary
Physical Therapist 225100000X FL

Addresses

Primary practice location

1 Calle Tomas Davila
CDT-TMG Medical Group C.S.P.
Barceloneta, PR 00617-2798

Mailing address

Calle Tomas Davila #1
CDT-TMG Medical Group C.S.P.
Barceloneta, PR 00617
Phone (787) 222-9263

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
I20091027000469 PR Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 7113064957 Reassigns benefits to 1 organization
Practice locations: Barceloneta, PR; Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Catalana
Calle Georgetti C67
Barceloneta, PR 00617-2049
Phone (787) 623-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gil Maldonado Manzanet, CSP Chiropractor CurrentSince Nov 20, 2020 Accepting new patients
Dr. Gil Maldonado Manzanet, CSP CurrentSince Nov 20, 2020 Accepting new patients

Locations

42 Calle Jose Julian Acosta
Vega Baja, PR 00693
Phone (787) 623-2526

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1790915650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TOMAS DAVILA #1",
            "address_2": "CDT-TMG MEDICAL GROUP C.S.P.",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-222-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "address_2": "CDT-TMG MEDICAL GROUP C.S.P.",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172798",
            "telephone_number": "787-222-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO MANZANET",
        "first_name": "GIL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "461",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.