Active NPI
Cristina Maldonado
- Clinical Social Worker
- Juana Diaz, PR
National Provider Identifier
1275939050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11280
- Practice address
- #323 Calle Reina Elizabeth
Colinas del Prado
Juana Diaz, PR 00795-2128 - Phone
- (787) 382-0604
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 Social Worker | 1041C0700X | 11280 | PR | Primary |
Addresses
Primary practice location
#323 Calle Reina Elizabeth
Colinas del Prado
Juana Diaz, PR 00795-2128
Mailing address
PO Box 8716
Ponce, PR 00732-8716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11280 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1275939050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8716",
"city": "PONCE",
"state": "PR",
"postal_code": "007328716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#323 CALLE REINA ELIZABETH",
"address_2": "COLINAS DEL PRADO",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007952128",
"telephone_number": "787-382-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.