Organization Active NPI

Latoni Plasticand Reconstructive Surgery PSC

  • Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1811328768
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11812 Issued in PR
Legal business name
LATONI PLASTICAND RECONSTRUCTIVE SURGERY PSC
Practice address
27 Calle Nelson Perea
Edf Doctors Center Suite 105
Mayaguez, PR 00680-4949
Phone
(787) 831-1000
Fax
(787) 831-1000
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Jorge D Latoni Maldonado, MDNPI 1184614489
Title
President
Phone
(787) 831-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11812 PR Primary

Addresses

Primary practice location

27 Calle Nelson Perea
Edf Doctors Center Suite 105
Mayaguez, PR 00680-4949

Mailing address

PO Box 1856
Mayaguez, PR 00681-1856
Phone (787) 831-1000

Other identifiers 1

IdentifierTypeStateIssuer
11812OtherPRMD LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1811328768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1856",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811856",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE NELSON PEREA",
            "address_2": "EDF DOCTORS CENTER SUITE 105",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATONI PLASTICAND RECONSTRUCTIVE SURGERY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "LATONI MALDONADO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-831-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "11812",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.