Active NPI
Yasminery Maldonado, MSPT
- Physical Therapist
- Hato Rey, PR
National Provider Identifier
1306117924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1366
- Practice address
- 500 Calle Baez
Hato Rey, PR 00917-5020 - Phone
- (787) 767-6710
- Fax
- (787) 758-0950
- NPI assigned
- Jan 13, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1366 | PR | Primary |
Addresses
Primary practice location
500 Calle Baez
Hato Rey, PR 00917-5020
Mailing address
300 Calle Gregorio Maranon
Urb. Jardines de Escorial
Toa Alta, PR 00953-3637
Phone (787) 275-0846
Other practice location 1
300 Calle Gregorio Maranon
Urb. Jardines de Escorial
Toa Alta, PR 00953-3637
Phone (787) 275-0846
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1366 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc | Current | Accepting new patients | |
| Aos Peds Rehab, LLC | Past | Accepting new patients |
Locations
500 Calle Baez
San Juan, PR 00917
Phone 787767671067
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
- NPI 1356388532
-
- Rehabilitation Practitioner
- San Juan, PR
- NPI 1245097120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1306117924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CALLE GREGORIO MARANON",
"address_2": "URB. JARDINES DE ESCORIAL",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533637",
"telephone_number": "787-275-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CALLE BAEZ",
"city": "HATO REY",
"state": "PR",
"postal_code": "009175020",
"telephone_number": "787-767-6710",
"fax_number": "787-758-0950"
}
],
"practiceLocations": [
{
"address_1": "300 Calle Gregorio Maranon",
"address_2": "Urb. Jardines de Escorial",
"address_purpose": "LOCATION",
"city": "Toa Alta",
"state": "PR",
"postal_code": "009533637",
"country_code": "US",
"telephone_number": "787-275-0846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "YASMINERY",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.