Active NPI
Ferdinando Maldonado Terron, 9714
- General Practice Physician
- Hatillo, PR
National Provider Identifier
1982784112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9714
- Practice address
- Carr. 129 K.M. 15.1
Barrio Bayaney
Hatillo, PR 00659 - Phone
- (787) 820-1763
- Fax
- (787) 820-5759
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9714 | PR | Primary |
Addresses
Primary practice location
Carr. 129 K.M. 15.1
Barrio Bayaney
Hatillo, PR 00659
Mailing address
PO Box 9921 Cotto Station
Arecibo, PR 00613-9921
Phone (787) 820-1763
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080215000328 | PR | Practitioner - General Practice | 7911080809 | Practice locations: Hatillo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pura Vida Group L.L.C. | Past | Accepting new patients | |
| CDT Dr. Ferdinando Maldonado | Past | Accepting new patients | |
| Lab Clinico CDT Dr Ferdinando Maldonado | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Care Clinic/Center
- Hatillo, PR
- NPI 1164491254
-
- Clinical Medical Laboratory
- Hatillo, PR
- NPI 1841404225
-
- Chiropractor
- Hatillo, PR
- NPI 1477299295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1982784112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9921 COTTO STATION",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006139921",
"telephone_number": "787-820-1763",
"fax_number": "787-820-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 129 K.M. 15.1",
"address_2": "BARRIO BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-820-1763",
"fax_number": "787-820-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO TERRON",
"first_name": "FERDINANDO",
"name_prefix": "Dr.",
"credential": "9714",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.