Individual provider Active NPI

Yasminery Maldonado, MSPT

  • Physical Therapist
  • Hato Rey, PR
National Provider Identifier
1306117924
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1366 Issued in PR
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

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1366PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc CurrentSince Jan 21, 2024 Accepting new patients
Aos Peds Rehab, LLC PastSince Jan 21, 2024 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.

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.

Verify at the official NPI Registry.