Hector J Maldonado, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

006695 Issued in CT

Practice address

1000 Asylum Ave
Suite 3200
Hartford, CT 06105-1770

Phone

(860) 714-4990

Fax

(860) 714-8005

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Francis Hospital and Medical Center

  • Dental Clinic/Center
  • Hartford, CT
  • NPI 1003805524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013121417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BERKELEY PL",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113603",
            "telephone_number": "860-714-4990",
            "fax_number": "860-714-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4990",
            "fax_number": "860-714-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "HECTOR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "006695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HYGIENIST LICENSE",
            "identifier": "006695",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heeren S Makanji, MD
• Kanishk Makhija, M.D.
• Amanda Jean Maki, P.A.-C
• Lara Malcarne, CRNA
• Carmen M Maldonado Pepin, B.A
• Juana Maldonado, B.A.
• Lynette Maldonado
• Manuel Heriberto Maldonado
• Ramonita Maldonado
• Karen Azucena Malecki, CRNA

• Dental Hygienist in Hartford, CT
• Providers in Hartford, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.