Active NPI
Linette Maldonado Lugo
- Dentist
- San Juan, PR
National Provider Identifier
1063894657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3212
- Practice address
- 356 Ave Americo Miranda
Dental School
San Juan, PR 00927-5147 - Phone
- (787) 758-2525
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3212 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
356 Ave Americo Miranda
Dental School
San Juan, PR 00927-5147
Mailing address
8 Ave Los Dominicos
Urb Miraflores
Bayamon, PR 00957
Phone (787) 799-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190110000955 | PR | Order and Referring Only - Dentist | 3870839954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3212 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1063894657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 AVE LOS DOMINICOS",
"address_2": "URB MIRAFLORES",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-799-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 AVE AMERICO MIRANDA",
"address_2": "DENTAL SCHOOL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009275147",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO LUGO",
"first_name": "LINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3212",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Abigail D Maldonado Caquias
- Crystal Kareliz Maldonado Carrion, PHD
- Vanessa Marie Maldonado Colon, MPHGERO, LND
- Jose Miguel Maldonado Cortes, MD
- Carolina Maldonado Diaz
- Juan Francisco Maldonado Marin, OTR
- Jose Julian Maldonado Mendez
- Minerva Maldonado Ortiz, 0679P
- Lia Isabel Maldonado Padua
- Alex Maldonado Perez, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.