Individual provider Active NPI

Maricelys Zohet Maldonado

  • Psychologist
  • San Juan, PR
National Provider Identifier
1336058130
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8768 Issued in PR
Practice address
1230 Calle Maria R Bustamante
San Juan, PR 00924-3543
Phone
(787) 628-3056
NPI assigned
Sep 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 8768 PR Primary

Addresses

Primary practice location

1230 Calle Maria R Bustamante
San Juan, PR 00924-3543

Mailing address

1230 Calle Maria R Bustamante
San Juan, PR 00924-3543
Phone (787) 628-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1336058130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CALLE MARIA R BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243543",
            "telephone_number": "787-628-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CALLE MARIA R BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243543",
            "telephone_number": "787-628-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARICELYS",
        "middle_name": "ZOHET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.