Individual provider Active NPI

Ferdinando Maldonado Terron, 9714

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1982784112
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9714 Issued in PR
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

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000328 PR Practitioner - General PracticePractitioner - Gastroenterology 7911080809 Practice locations: Hatillo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Dec 3, 2007 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.

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

Verify at the official NPI Registry.