Individual provider Active NPI

Ramon Antonio Pastrana Maldonado, M.D.

  • Internal Medicine Physician
  • Fajardo, PR
National Provider Identifier
1811076813
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7969 Issued in PR
Practice address
Calle Union Num 10 Este
Fajardo Medical Plaza 102
Fajardo, PR 00738
Phone
(787) 863-4840
Fax
(787) 863-3205
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7969 PR Primary

Addresses

Primary practice location

Calle Union Num 10 Este
Fajardo Medical Plaza 102
Fajardo, PR 00738

Mailing address

Pueblo Station
P.O. Box 659
Carolina, PR 00986-0659
Phone (787) 863-4840

Other identifiers 2

IdentifierTypeStateIssuer
0029427OtherPRMEDICARE
8153OtherPRFIRST MEDICAL

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
I20120327000246 PR Practitioner - Internal Medicine 5496894248 Practice locations: Fajardo, PR; Rio Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Calle Un E
102 Fajardo Medical Plaza
Fajardo, PR 00738-4823
Phone (787) 863-4840

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1811076813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PUEBLO STATION",
            "address_2": "P.O. BOX 659",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860659",
            "telephone_number": "787-863-4840",
            "fax_number": "787-863-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE UNION NUM 10 ESTE",
            "address_2": "FAJARDO MEDICAL PLAZA 102",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-4840",
            "fax_number": "787-863-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA MALDONADO",
        "first_name": "RAMON",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0029427",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "8153",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.