Jimmy Amaro Maldonado Sr., REGISTER NURSE

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

78389 Issued in PR

Practice address

Calle 2 Carr 750
Urb Los Almendros Parcela D10
Maunabo, PR 00707-0843

Phone

(787) 615-2081

Fax

(787) 866-3322

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1134582026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007070843",
            "telephone_number": "787-615-2081",
            "fax_number": "787-866-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 CARR 750",
            "address_2": "URB LOS ALMENDROS PARCELA D10",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007070843",
            "telephone_number": "787-615-2081",
            "fax_number": "787-866-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO MALDONADO",
        "first_name": "JIMMY",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "REGISTER NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "78389",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "PR",
            "license": "78389",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "78389",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "PR",
            "license": "78389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE REGISTER NURSE GENERALIST",
            "identifier": "78389",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIES",
            "identifier": "6218693",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alerys Yamilka Abreu Cruz Sr., PHARMACY TECH
• Amal Ambulance Corporation
• Victor David Bernier, DMD
• Yanira Raquel Burgos, B.S.N.
• Centro Servicios Primarios de Salud de Patillas Inc.
• Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo
• Ramon A Cintron-Torres Sr., DC

• Administrator Registered Nurse in Maunabo, PR
• Providers in Maunabo, PR by specialty
• Administrator Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.