Active NPI
Enrique Raul Maldonado Corchado, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Guaynabo, PR
National Provider Identifier
1972873792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- Q8103
- Practice address
- 136 Calle Carazo Ste 3
Guaynabo, PR 00969-6412 - Phone
- (787) 708-6200
- Fax
- (787) 708-6228
- NPI assigned
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 258254 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Q8103 | TX | Primary |
Addresses
Primary practice location
136 Calle Carazo Ste 3
Guaynabo, PR 00969-6412
Mailing address
PO Box 3972
Guaynabo, PR 00970-3972
Phone (787) 708-6200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
136 Calle Carazo
Suite 3
Guaynabo, PR 00969-6412
Phone (787) 708-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258254 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guaynabo Endocrinology Center P.S.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
136 Calle Carazo
Ste 3
Guaynabo, PR 00969
Phone (787) 414-9722
136 Calle Carazo
Guaynabo, PR 00969
Phone (787) 708-6200
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Guaynabo, PR
- NPI 1205461092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1972873792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3972",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703972",
"telephone_number": "787-708-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CALLE CARAZO STE 3",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009696412",
"telephone_number": "787-708-6200",
"fax_number": "787-708-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO CORCHADO",
"first_name": "ENRIQUE",
"middle_name": "RAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "258254",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "Q8103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Julia T Malavet, M.D.
- Laura Maldonado Alicea, MS, BCBA
- Luis Maldonado Ayala, 1056B
- Jeannette Maldonado Carrero, M.D.
- Juan Maldonado Colon, 0872P
- Marcos A Maldonado Figueroa, 0307B
- Natalie Marie Maldonado Garcia, RDN,LND
- Jose Maldonado Medina, 1092P
- Javier Maldonado Melendez, 1502B
- Cesar Maldonado Mora, 0303B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.