Active NPI
Mariselis Ortiz Maldonado, M.S.
- Speech-Language Pathologist
- Isabela, PR
National Provider Identifier
1114811429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 639
- Practice address
- 4972 Ave Militar
Isabela, PR 00662-4163 - Phone
- (787) 365-0465
- NPI assigned
- Jun 3, 2025
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 639 | PR | Primary |
Addresses
Primary practice location
4972 Ave Militar
Isabela, PR 00662-4163
Mailing address
Urbanizacion Sol Y Mar
238 Paseo Luna H12
Isabela, PR 00662
Phone (787) 356-3113
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
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1114811429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION SOL Y MAR",
"address_2": "238 PASEO LUNA H12",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-356-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624163",
"telephone_number": "787-365-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ MALDONADO",
"first_name": "MARISELIS",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.