Individual provider Active NPI

Giuliani Tomas Oliveras Maldonado

  • Nephrology Physician
  • Fajardo, PR
National Provider Identifier
1912560194
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
023166 Issued in PR
Practice address
Caribbean Medical Building
Ave Osvaldo Molina Esquina Calle General Valero 375
Fajardo, PR 00738
Phone
(787) 705-8166
NPI assigned
Apr 15, 2019
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 023166 PR Primary

Addresses

Primary practice location

Caribbean Medical Building
Ave Osvaldo Molina Esquina Calle General Valero 375
Fajardo, PR 00738

Mailing address

Caribbean Medical Building
Ave Osvaldo Molina Esquina Calle General Valero 375
Fajardo, PR 00738
Phone (787) 705-8166

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
I20250314002499 PR Practitioner - NephrologyPractitioner - Internal Medicine 8325560758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Iturregui Mo1 Calle
413 Suite 201
Carolina, PR 00982
Phone (787) 641-7582

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023166PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B18 LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Pro-Health Clinical Services LLC CurrentSince Feb 11, 2026 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1912560194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIBBEAN MEDICAL BUILDING",
            "address_2": "AVE OSVALDO MOLINA ESQUINA CALLE GENERAL VALERO 375",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-705-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBBEAN MEDICAL BUILDING",
            "address_2": "AVE OSVALDO MOLINA ESQUINA CALLE GENERAL VALERO 375",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-705-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS MALDONADO",
        "first_name": "GIULIANI",
        "middle_name": "TOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "023166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.