Ivonne Marie Maldonado de la Rosa

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13103 Issued in AZ

Practice address

2550 S San Tan Village Pkwy Apt 2094
Gilbert, AZ 85295-7879

Phone

(787) 671-5275

NPI assigned

May 1, 2020

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1316568272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S SAN TAN VILLAGE PKWY APT 2094",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957879",
            "telephone_number": "787-671-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S SAN TAN VILLAGE PKWY APT 2094",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957879",
            "telephone_number": "787-671-5275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "B20 Calle 11",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009598817",
            "country_code": "US",
            "telephone_number": "787-671-5275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO DE LA ROSA",
        "first_name": "IVONNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30762",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011047",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4214",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majestic Care LLC
• Majestic Rose LLC
• Lauren Makowski
• Shiva Shahriari Malaty, DO
• Malaya Health, PLLC (Malaya Health and Wellness)
• Corinne Maldonado, RN
• Jennifer Maldonado, PA-C
• Karla Maldonado
• Barlow Malin, MSN, CRNA
• David Malinski

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.