Organization Active NPI

Jeffrey Maldonado MD LLC

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1376321158
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JEFFREY MALDONADO MD LLC
Practice address
11760 SW 40TH St Ste 411
Miami, FL 33175-3595
Phone
(305) 967-8435
Fax
(305) 967-8432
NPI assigned
Sep 21, 2023
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. Jeffrey De Jesus Maldonado Pena, MDNPI 1679912117
Title
Owner
Phone
(787) 904-7292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 411
Miami, FL 33175-3595

Mailing address

PO Box 524102
Miami, FL 33152-4102
Phone (305) 967-8435

Other practice location 1

5040 NW 7th St Ste 635
Miami, FL 33126-3796
Phone (305) 967-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213003898 FL Part B Supplier - Clinic/Group Practice 5991154114 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1376321158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331524102",
            "telephone_number": "305-967-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-967-8435",
            "fax_number": "305-967-8432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 NW 7th St Ste 635",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331263796",
            "country_code": "US",
            "telephone_number": "305-967-8435",
            "fax_number": "305-967-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY MALDONADO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MALDONADO PENA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-904-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.