Dr Pedro Juan Claudio, MD - Medicare Family Medicine in Carolina, PR

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Dr Pedro Juan Claudio, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Carolina, Puerto Rico. His current practice location is Hospital Upr #3 Street Km 8.3, 65 Infantery Ave, Carolina, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 757-1800.

Dr Pedro Juan Claudio is licensed to practice in Puerto Rico (license number 14770) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245370279.

Contact Information

Dr Pedro Juan Claudio, MD
Hospital Upr #3 Street Km 8.3, 65 Infantery Ave,
Carolina, PR 00984-6021
(787) 757-1800
(787) 750-0215

Map and Direction




Physician's Profile

Full NameDr Pedro Juan Claudio
GenderMale
SpecialityFamily Medicine - Adult Medicine
LocationHospital Upr #3 Street Km 8.3, Carolina, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245370279
  • Provider Enumeration Date: 02/07/2007
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799688446
  • Enrollment ID: I20040129000844

Medical Identifiers

Medical identifiers for Dr Pedro Juan Claudio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245370279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 14770 (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 Pedro Juan Claudio allows following entities to bill medicare on his behalf.
Entity NameRecinto De Ciencias Medicas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275697898
PECOS PAC ID: 3678469962
Enrollment ID: O20041115000739
Entity NameConcilio De Salud Integral De Loiza Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664102
PECOS PAC ID: 6800990805
Enrollment ID: O20070402000080

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 Pedro Juan Claudio 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 AddressPractice Location Address
Dr Pedro Juan Claudio, MD
Hc 1 Box 5123,
Canovanas, PR 00729-9744

Ph: (787) 256-7843		Dr Pedro Juan Claudio, MD
Hospital Upr #3 Street Km 8.3, 65 Infantery Ave,
Carolina, PR 00984-6021

Ph: (787) 757-1800

Reviews and Comments


Family Medicine Doctors in Carolina, PR

Dr. Miguel A. Paladines, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Avenida Roberto Clemente C-11 Blq 33-2, Carolina, PR 00985
Phone: 787-769-1630    
Dr. Pedro Eduardo Rodriguez Ortiz, MD, MPH
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Km 8.3 Calle 3, Av. 65 De Infanteria, Carolina, PR 00984
Phone: 787-776-4420    
Francisco Manuel Calles Garcia, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Carretera 3 Km. 8.3 Ave 65 De Infanteria, Hospital Dr. Federico Trilla, Carolina, PR 00984
Phone: 787-757-1800    
Damarys Mustelier-cedeno, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Km 8. P.r, 3 Cll 3, Carolina, PR 00984
Phone: 787-757-1800    
Angelo Coppola, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: A28 Calle C, Carolina, PR 00987
Phone: 787-257-2040    
Aiman Yacoub,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Via 26 El 26, Carolina, PR 00983
Phone: 787-235-5552    
Jaclismar Berrios-rivera,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Hc 3 Box 12052, Carolina, PR 00987
Phone: 939-639-4876    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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