MADERA MEDICAL LLC
NPI 1629755376
General Practice in Camuy, PR

Active since July 03, 2023
EDIF MENDEZ CARR 119 KM 6.1, BO PUENTE, CAMUY, PR 00627(787) 814-8049(787) 814-8048 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2023, Jul 3, 2023 (2 updates tracked since 2023).

About Madera Medical Llc NPPES

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

MADERA MEDICAL LLC (NPI 1629755376) is a healthcare organization registered as a general practice in Camuy, Puerto Rico and active in the NPI registry since July 2023. The organization lists Magali Madera, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1629755376
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMADERA MEDICAL LLC
Location AddressEDIF MENDEZ CARR 119 KM 6.1, BO PUENTECamuy, PR 00627
Mailing AddressPo Box 9548Arecibo, PR 00613-9548 · (787) 614-2511 · Fax (787) 814-8048
Fax(787) 814-8048
Organization SubpartNo
Authorized OfficialMagali MaderaMedical Doctor · (787) 814-8049
Enumeration DateJuly 3, 2023
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1629755376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madera Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Madera Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1306961404
CARR 119 KM 6.1 BO PUENTE EDIFICIO MENDEZ
Camuy, PR 00627
(787) 814-8049
✔ PECOS

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

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 Madera Medical LLC's NPI number?

The NPI number for Madera Medical LLC is 1629755376. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Madera Medical LLC located?

Madera Medical LLC is located at Edif Mendez Carr 119 Km 6.1 Bo Puente, Camuy, PR 00627. The listed phone number is (787) 814-8049.

What is Madera Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Madera Medical LLC enrolled in Medicare?

Yes. Madera Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madera Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Madera Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Madera Medical LLC was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.