Individual provider Active NPI

Ferdy Maldonado Adames, M.D.

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1790977163
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16843 Issued in PR
Practice address
Carr 129 KM 15.0 de Arecibo a Lares
Hatillo, PR 00659
Phone
(787) 881-5937
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16843 PR Primary

Addresses

Primary practice location

Carr 129 KM 15.0 de Arecibo a Lares
Hatillo, PR 00659

Mailing address

HC 2 Box 7726
Camuy, PR 00627-9091
Phone (787) 209-0566

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
I20080626000178 PR Practitioner - General Practice 1759453350 Practice locations: Florida, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16843PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maldonado Premium Health LLC General Practice Past Accepting new patients
Vega Alta Community Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1790977163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7726",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279091",
            "telephone_number": "787-209-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 15.0 DE ARECIBO A LARES",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-881-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO ADAMES",
        "first_name": "FERDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.