Active NPI
Carlos Maldonado, D.O., P.a.
- Body Imaging Physician
- Harlingen, TX
National Provider Identifier
1194058800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- J7064
- Legal business name
- CARLOS MALDONADO, D.O., P.A.
- Practice address
- 2933 Lazy Lake Dr
Harlingen, TX 78550-8633 - Phone
- (956) 276-0144
- Fax
- (866) 689-4246
- NPI assigned
- Sep 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Maldonado, D.O.
- Title
- Owner/President
- Phone
- (956) 276-0144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | J7064 | TX | Primary |
Addresses
Primary practice location
2933 Lazy Lake Dr
Harlingen, TX 78550-8633
Mailing address
2933 Lazy Lake Dr
Harlingen, TX 78550-8633
Phone (956) 276-0144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252800000000",
"number": "1194058800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 LAZY LAKE DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508633",
"telephone_number": "956-276-0144",
"fax_number": "866-689-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 LAZY LAKE DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508633",
"telephone_number": "956-276-0144",
"fax_number": "866-689-4246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS MALDONADO, D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-13",
"last_updated": "2009-09-13",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "956-276-0144",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "J7064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.