Individual provider Active NPI

Yolanda Maldonado Maldonado, MT

  • Clinical Laboratory Director (Non-physician)
  • Bayamon, PR
National Provider Identifier
1275702243
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
1665 Issued in PR
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
660397575OtherPRUHC
660397575OtherPRCIGNA
7675OtherPRIMC
1275627234OtherPRPROSSAM
30349OtherPRTRIPLE-S
51018OtherPRCRUZ AZUL DE PR
660397575OtherPRMAPFRE
8000209OtherPRMMM
6200024OtherPRHUMANA
660397575OtherPRMCS
660397575OtherPRTRICARE

Other names 1

  • Laboratorio Clinico Almendros Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1665PRMDNutrition 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.

Verify at the official NPI Registry.