Mara Maldonado, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1513 Issued in PR

Practice address

14 Carr 833
Apt #1101
Guaynabo, PR 00969-7401

Phone

(787) 789-5028

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mara Maldonado Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1013332360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARR 833",
            "address_2": "LA CIMA DE TORRIMAR APT #1101",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CARR 833",
            "address_2": "APT #1101",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697401",
            "telephone_number": "787-789-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S SALUD",
            "identifier": "41410",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "MALDONADO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ivelisse J. Maldonado-Morales, PSY. D.
• Coralia Krystal Maldonado
• Hector Ignacio Maldonado, M.D.
• Karla Michelle Maldonado, D.M.D.
• Laura Desiree Maldonado
• Maria Elisa Maldonado, PSYD
• Rayza Vicmarie Maldonado, PHD
• Juan Carlos Malpica-Santiago, M.D.
• Rocio C Mandry-Pagan, M.D.
• Vyrmar Mangual Laborde, LN

• Dentist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.