Ivelisse J. Maldonado-Morales, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003256 Issued in PR

Practice address

Centro Internacional de Mercadeo
Torre 1 Suite 401
Guaynabo, PR 00966

Phone

(787) 448-2363

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1154550218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K6 CALLE RIO BLANCO",
            "address_2": "RIO HONDO 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613443",
            "telephone_number": "787-448-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO",
            "address_2": "TORRE 1 SUITE 401",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-448-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO-MORALES",
        "first_name": "IVELISSE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "003256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Maldonado Robles, 1563P
• Norma Maldonado Rodriguez, 0520P
• Francisco Maldonado Seda, 1460B
• Jose Rafael Maldonado Soler, MD COUNSELING PSYC
• Jorge Maldonado Velazquez, 1888P
• Coralia Krystal Maldonado
• Hector Ignacio Maldonado, M.D.
• Karla Michelle Maldonado, D.M.D.
• Laura Desiree Maldonado
• Mara Maldonado, DMD

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.