Edwin Maeso-Gonzalez, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4305 Issued in PR

Practice address

735 Ponce de Leon Ave
Torre Auxilio Mutuo, Suite 806
San Juan, PR 00917-5022

Phone

(787) 759-6375

Fax

(787) 758-6566

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1831154608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "TORRE AUXILIO MUTUO, SUITE 806",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-759-6375",
            "fax_number": "787-758-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "TORRE AUXILIO MUTUO, SUITE 806",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-759-6375",
            "fax_number": "787-758-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESO-GONZALEZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Maciag, HS3
• Tania Maria Macias, D.M.D.
• Patrick Mackey, HS
• Ubaldo Rafael Madera Sanchez, M.D.
• Gabriel Alejandro Madera-Santiago
• Osvaldo Miguel Maeso, DMD
• Rosa Ana Maeso, OD
• Federico A Maestre Grau, MD
• Carlos C Maestre-Fernandez, M.D.
• Barbara Maestre, M.D.

• Urology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.