Provider networks in Puerto Rico.
InPlan holds provider listings for 46 Medicare Advantage plans that serve Puerto Rico. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MEDICARE ADVANTAGE PLANS
- 46
- PLAN YEARS
- 2027
- INSURERS AND PLAN ORGANIZATIONS
- 2
- LATEST READ
- 2026-10-29
What we hold in Puerto Rico.
Plans whose provider directories list providers in our data.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Medicare Advantage | 46 | 2 | 2027 | 2026-10-29 |
How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.
Insurers in Puerto Rico.
Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.
| INSURER | MARKET | PLANS |
|---|---|---|
| MMM (Medicare y Mucho Mas) | Medicare Advantage | 25 |
| MCS Classicare | Medicare Advantage | 21 |
Who the Medicare Advantage directories list.
More than 9,500 providers who practise in Puerto Rico appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- General Practice1,717
- Clinical Psychologist1,070
- Dentist1,038
- Internal Medicine594
- Optometry437
- Chiropractic359
- Obstetrics/Gynecology345
- Family Practice317
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in Puerto Rico.
Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.
| PLAN | PLAN ID | YEAR | TYPE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|
| MMM Supremo (HMO C-SNP)Medicare y Mucho Mas (MMM) | H4003-009-000 | 2027 | Medicare AdvantageHMO C-SNP · Special Needs Plan | 9,509 |
| MMM Diamante Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) | H4003-017-000 | 2027 | Medicare AdvantageHMO D-SNP · Special Needs Plan | 9,509 |
| MMM Elite (HMO-POS)Medicare y Mucho Mas (MMM) | H4003-034-000 | 2027 | Medicare AdvantageHMO-POS | 9,509 |
| MCS Classicare Efectivo (HMO)MCS Classicare | H5577-005-000 | 2027 | Medicare AdvantageHMO | 7,000 |
| MCS Classicare Primero (HMO C-SNP)MCS Classicare | H5577-038-000 | 2027 | Medicare AdvantageHMO C-SNP · Special Needs Plan | 7,000 |
A real Puerto Rico answer.
Rolando Delgado, D.O, who practises in Yauco, is listed in H4003-009-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1003001736&plan_id=H4003-009-000"
{
"npi": "1003001736",
"plan_id": "H4003-009-000",
"market": "ma",
"in_network": true,
"answer": "listed",
"plan_year": 2027,
"source": { "type": "plan_directory", "as_of": "2026-10-29" }
}Rolando Delgado, D.O
Optometry · Yauco, PR
Listed
- PLAN
- MMM Supremo (HMO C-SNP)
- INSURER
- Medicare y Mucho Mas (MMM)
- MARKET
- Medicare Advantage, plan year 2027
- PLAN TYPE
- HMO C-SNP
- SOURCE
- plan_directory · read 2026-10-29
Every Puerto Rico provider, with every plan that lists them.
The Puerto Rico data file is one CSV: one row for each provider and plan pair, for every provider practising in Puerto Rico, with the source type and read date on each row.
Check Puerto Rico providers in your own product.
Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.
Other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries. InPlan is independent and not affiliated with any insurer named here.