Mitsa Maldonado, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

005518 Issued in PR

Practice address

158 El Senorial Avenida Winston Churchill
Walgreens 12649
Rio Piedras, PR 00925

Phone

(787) 751-7219

Fax

(787) 751-7246

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1245524842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 EL SENORIAL AVENIDA WINSTON CHURCHILL",
            "address_2": "WALGREENS 12649",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-751-7219",
            "fax_number": "787-751-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 EL SENORIAL AVENIDA WINSTON CHURCHILL",
            "address_2": "WALGREENS 12649",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-751-7219",
            "fax_number": "787-751-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MITSA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "005518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin I Lugo Lugo, M.D.
• Jorge E Lugo-Rodriguez, MD
• Luis Martinez Gonzalez Inc (Farmacia del Carmen)
• Ana Maria Luquis, MA
• Lydia Esther Maldonado Esquilin, MD
• Berta M. Marchand, PSYCHOLOGIST
• Maria L Marchand, MD
• Zahira Marin Rivera, PT
• Keishla Marquez Figueroa, BSN
• Elvin Castro Marquez Sr., MD

• Pharmacist in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.