Individual provider Active NPI

Magdiel Mayol-Urdaz, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1992772099
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
14248 Issued in PR
Practice address
Cepyq-Hospital San Francisco
371 De Diego Ave.
San Juan, PR 00923
Phone
(787) 767-5100
Fax
(787) 620-4636
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 14248 PR
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 14248 PR Primary

Addresses

Primary practice location

Cepyq-Hospital San Francisco
371 De Diego Ave.
San Juan, PR 00923

Mailing address

Vista Los Frailes
150 Carr.873, Apt.74
Guaynabo, PR 00969-5157
Phone (787) 356-7175

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
I20040917000068 PR Practitioner - Orthopedic Surgery 2668440793 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave 65 de Infanteria
Carr 3 KM 8.3
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)207
Upper limb (arm) arthroscopy (minimally invasive joint repair)440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 6, 2004 Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery CurrentSince Oct 6, 2004 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 and National Provider Directory roles.

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1992772099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISTA LOS FRAILES",
            "address_2": "150 CARR.873, APT.74",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695157",
            "telephone_number": "787-356-7175",
            "fax_number": "787-620-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEPYQ-HOSPITAL SAN FRANCISCO",
            "address_2": "371 DE DIEGO AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-5100",
            "fax_number": "787-620-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOL-URDAZ",
        "first_name": "MAGDIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PR",
            "license": "14248",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "14248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.