Active NPI
Suehei Maldonado
- Social Worker
- Naguabo, PR
National Provider Identifier
1114602497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13304
- Practice address
- Promised Land
Monte de Los Olivos 68
Naguabo, PR 00718 - Phone
- (787) 206-0717
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13304 | PR | Primary |
Addresses
Primary practice location
Promised Land
Monte de Los Olivos 68
Naguabo, PR 00718
Mailing address
Promised Land
Monte de Los Olivos 68
Naguabo, PR 00718
Phone (787) 206-0717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13304 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1114602497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROMISED LAND",
"address_2": "MONTE DE LOS OLIVOS 68",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "787-206-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROMISED LAND",
"address_2": "MONTE DE LOS OLIVOS 68",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "787-206-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "SUEHEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "13304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naguabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.