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DR. PEDRO JUAN CLAUDIO MD
NPI 1245370279
Family Medicine - Adult Medicine in Carolina, PR

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
HOSPITAL UPR #3 STREET KM 8.3, 65 INFANTERY AVE, CAROLINA, PR 00984(787) 757-1800(787) 750-0215 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pedro Juan Claudio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PEDRO JUAN CLAUDIO MD (NPI 1245370279) is an individual adult medicine provider in Carolina, Puerto Rico, licensed in Puerto Rico (14770) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2000).

NPPES Registry Identity

NPI1245370279
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. PEDRO JUAN CLAUDIOCredential: MD
Location AddressHOSPITAL UPR #3 STREET KM 8.3, 65 INFANTERY AVECarolina, PR 00984-6021
Mailing AddressHc 1 Box 5123Canovanas, PR 00729-9744 · (787) 256-7843
Phone(787) 757-1800
Fax(787) 750-0215
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2000
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1245370279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in PR · 14770
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
HOSPITAL UPR #3 STREET KM 8.3, Carolina, PR 00984
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Other Identifiers 1

Medicare UPINI-18185PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pedro Juan Claudio Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799688446
PECOS Enrollment IDI20040129000844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Pedro Claudio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neomed Center, Inc.
9.0 mi
Urgent Care
CARR 941 SALIDA BO JAGUAS
Gurabo, PR 00778
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 119 clinicians in this Medicare group
NPI 1912384678 (787) 737-2311
Concilio De Salud Integral De Loiza, Inc.
Federally Qualified Health Center (FQHC)
CARRETERA #187 INT.#188 LOIZA, PR, 00772, BOX 509, LOIZA STATION
Loiza, PR 00772
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 43 clinicians in this Medicare group
NPI 1558664102 (787) 876-2042
Recinto De Ciencias Medicas
Family Medicine
AVE. 65 DE INFANTERIA, CARR. #3 KM. 8.3
Carolina, PR 00984
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 9 clinicians in this Medicare group
NPI 1275697898 (787) 757-6330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00984 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Claudio's NPI number?

The NPI number for Pedro Claudio is 1245370279. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Pedro Claudio located?

Pedro Claudio practices at Hospital Upr #3 Street Km 8.3 65 Infantery Ave, Carolina, PR 00984. The listed phone number is (787) 757-1800.

What is Pedro Claudio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Pedro Claudio enrolled in Medicare?

Yes. Pedro Claudio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pedro Claudio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Claudio reassigns Medicare benefits to 3 organizations: Neomed Center, Inc. (Gurabo, PR), Concilio De Salud Integral De Loiza, Inc. (Loiza, PR) and Recinto De Ciencias Medicas (Carolina, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Claudio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Claudio was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.