Active NPI
Yolanda Maldonado Maldonado, MT
- Clinical Laboratory Director (Non-physician)
- Bayamon, PR
National Provider Identifier
1275702243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- 1665
- Practice address
- CC 35 Calle Ceiba
Rio Hondo III
Bayamon, PR 00961-3419 - Phone
- (787) 785-1233
- Fax
- (787) 780-2622
- NPI assigned
- Feb 25, 2008
- Last updated
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 1665 | PR | Primary |
Addresses
Primary practice location
CC 35 Calle Ceiba
Rio Hondo III
Bayamon, PR 00961-3419
Mailing address
CC 35 Calle Ceiba
Rio Hondo III
Bayamon, PR 00961-3419
Phone (787) 785-1233
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660397575 | Other | PR | UHC |
| 660397575 | Other | PR | CIGNA |
| 7675 | Other | PR | IMC |
| 1275627234 | Other | PR | PROSSAM |
| 30349 | Other | PR | TRIPLE-S |
| 51018 | Other | PR | CRUZ AZUL DE PR |
| 660397575 | Other | PR | MAPFRE |
| 8000209 | Other | PR | MMM |
| 6200024 | Other | PR | HUMANA |
| 660397575 | Other | PR | MCS |
| 660397575 | Other | PR | TRICARE |
Other names 1
- Laboratorio Clinico Almendros
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080207000492 | PR | Part B Supplier - Independent Clinical Laboratory | 6507949971 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1665 | PR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1275702243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CC 35 CALLE CEIBA",
"address_2": "RIO HONDO III",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613419",
"telephone_number": "787-785-1233",
"fax_number": "787-780-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CC 35 CALLE CEIBA",
"address_2": "RIO HONDO III",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613419",
"telephone_number": "787-785-1233",
"fax_number": "787-780-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO MALDONADO",
"first_name": "YOLANDA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "PR",
"license": "1665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "660397575",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "660397575",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "7675",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSSAM",
"identifier": "1275627234",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "30349",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "51018",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAPFRE",
"identifier": "660397575",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "8000209",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6200024",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "660397575",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "660397575",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LABORATORIO",
"last_name": "ALMENDROS",
"middle_name": "CLINICO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.