1992712376 NPI number — DR. HECTOR J RIVERA MALDONADO M.D.

Table of content: DR. HECTOR J RIVERA MALDONADO M.D. (NPI 1992712376)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992712376 NPI number — DR. HECTOR J RIVERA MALDONADO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIVERA MALDONADO
Provider First Name:
HECTOR
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992712376
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 80
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANATI
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00674-0080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-854-3700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE HERNANDEZ CARRION
Provider Second Line Business Practice Location Address:
HOSPITAL MANATI MEDICAL CENTER
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-854-3700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  11942 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 660628329 . This is a "MEDICARE OPTIMO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 89056 . This is a "TRIPLE SSS INC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "CHAMPVA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "MAPFRE LIFE INSURANCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "FIRST PLUS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 100080 . This is a "CRUZ AZUL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "BLUE CROSS & BLUESHIELD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "MCS CLASSIC CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 8370 . This is a "ACAA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3626-5/5007 . This is a "ASOCIACION MAESTROS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 66-0628329 . This is a "CHAMPUS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "ASISTENCIA MEDICA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: AETNA . This is a "660628329" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "CANADA LIFE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "COSVI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660628329 . This is a "MEDICAL CARD SYSTEM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P274 . This is a "INTERNATIONAL MEDICAL CAR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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