Individual provider Active NPI

Juan Antonio Maldonado, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1114901626
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2744 Issued in TX
Practice address
2106 Hale Ave
Harlingen, TX 78550-8408
Phone
(956) 423-9111
Fax
(956) 423-9273
NPI assigned
Nov 30, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2744 TX Primary

Addresses

Primary practice location

2106 Hale Ave
Harlingen, TX 78550-8408

Mailing address

2106 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 423-9111

Other identifiers 2

IdentifierTypeStateIssuer
121359706MedicaidTX
8AJ004OtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • Dr. Juan A Maldonado Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000091 TX Practitioner - Family Practice 8426076027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Juan a Maldonado MD PAGroup PAC ID 0547288144, 2 clinicians

Practice addresses (Care Compare)

2106 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 423-9111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2744TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan a Maldonado MD PA Family Medicine CurrentSince Nov 1, 2005 Accepting new patients

Locations

1722 S Carolina St
#B
Harlingen, TX 78550
Phone (956) 423-9111

2106 Hale Ave
Harlingen, TX 78550
Phone (956) 423-9111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDGCA/Endpoint/FIDGCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1114901626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HALE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HALE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121359706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8AJ004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "MALDONADO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.