Dr Mayra Maldonado, MD is a medicare enrolled "General Practice" provider in San Lorenzo, Puerto Rico. Her current practice location is
Bo. Quemados Carr 183 Km 10.4, Suite 204, San Lorenzo, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 380-6011.
Dr Mayra Maldonado is licensed to practice in Puerto Rico (license number 13495) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902994445.
Healthcare Provider's Profile
Full Name | Dr Mayra Maldonado |
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Gender | Female |
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Speciality | General Practice |
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Location | Bo. Quemados Carr 183 Km 10.4, San Lorenzo, Puerto Rico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902994445
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678589439
- Enrollment ID: I20060302000599
Medical Identifiers
Medical identifiers for Dr Mayra Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902994445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 13495 (Puerto Rico) | Primary |
208D00000X | General Practice | 13495 (Puerto Rico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mayra Maldonado allows following entities to bill medicare on her behalf.
Provider Name | Neomed Center, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1790776334 PECOS PAC ID: 1850284100 Enrollment ID: O20040414001654 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mayra Maldonado is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mayra Maldonado, MD Hacienda San Jose, 847 Via Placida, Caguas, PR 00727-3075 Ph: (787) 380-6011 | Dr Mayra Maldonado, MD Bo. Quemados Carr 183 Km 10.4, Suite 204, San Lorenzo, PR 00754 Ph: (787) 380-6011 |
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