Individual provider Active NPI

Jonathan Andres Miranda Maldonado, MS

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1013809912
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4544 Issued in PR
Practice address
Explora Centro Academico Y Terapeutico
Calle Carazo
Guaynabo, PR 00969-5717
Phone
(787) 710-1600
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4544 PR Primary

Addresses

Primary practice location

Explora Centro Academico Y Terapeutico
Calle Carazo
Guaynabo, PR 00969-5717

Mailing address

Urb. Bosque del Lago-Encantada
BF-17, Calle Plaza #14
Trujillo Alto, PR 00976
Phone (787) 451-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4544PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1013809912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BOSQUE DEL LAGO-ENCANTADA",
            "address_2": "BF-17, CALLE PLAZA #14",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-451-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXPLORA CENTRO ACADEMICO Y TERAPEUTICO",
            "address_2": "CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695717",
            "telephone_number": "787-710-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA MALDONADO",
        "first_name": "JONATHAN",
        "middle_name": "ANDRES",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.