Marisol Maldonado Rodriguez, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

13081 Issued in PR

Practice address

40 Calle Lopez Hormazabal
Calle Lope Hormozabal #40
Juncos, PR 00777-3105

Phone

(787) 734-6020

Fax

(787) 734-0006

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Obstetrics/Gynecology

Education

University of Puerto Rico School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ag Women Health Services Corp.

  • Medical Specialty Clinic/Center
  • Juncos, PR
  • NPI 1104968270
  NPD (past)
• Ryder Memorial Hospital Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1447270319
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1265574677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1752",
            "address_2": "CALLE LOPE HORMOZABAL #40 URB. MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771752",
            "telephone_number": "787-734-6020",
            "fax_number": "787-734-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE LOPEZ HORMAZABAL",
            "address_2": "CALLE LOPE HORMOZABAL #40",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773105",
            "telephone_number": "787-734-6020",
            "fax_number": "787-734-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO RODRIGUEZ",
        "first_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13081",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "998709",
            "identifier": "MMM",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "209515",
            "identifier": "PREFERRED HEALTH PLA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7843",
            "identifier": "IMC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20997",
            "identifier": "TRIPLE S",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7920027",
            "identifier": "HUMANA REFORMA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PE4466",
            "identifier": "PALIC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1196",
            "identifier": "AMERICANHEALTHPLAN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12613081",
            "identifier": "GLOBAL HEATLH",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Taina Lorenzana
• Linette Arlene Lugo, D.M.D
• Danny Luquis, RPH
• M&P Holistic Therapy Group
• Tamara Maffuz
• Carlos Ivan Maldonado, M.D.
• Celines Maldonado
• Katiria Mangual Cuadrado, CPL
• Jamillette Marcano Marcano, MA
• Mariela Marquez Pantoja, M.D.

• Obstetrics & Gynecology Physician in Juncos, PR
• Providers in Juncos, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.