Marta Evangelina Maldonado, BSN, RN

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

17420 Issued in PR

Practice address

996 San Roberto St.
Suite 301
San Juan, PR 00926

Phone

(787) 641-0773

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1396135489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741719",
            "telephone_number": "787-641-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 SAN ROBERTO ST.",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-641-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARTA",
        "middle_name": "EVANGELINA",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "17420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Mario Maldonado, M.D.
• Leslie E Maldonado, PH D
• Luz E Maldonado
• Lyssette J Maldonado, M.D.
• Maricelys Zohet Maldonado
• Melba Esther Maldonado, RPH
• Melvin Hipolito Maldonado, MD
• Miguel Maldonado
• Millissette D Maldonado, MD
• Mirca Noemi Maldonado, TO

• Community/Behavioral Health Agency in San Juan, PR
• Providers in San Juan, PR by specialty
• Community/Behavioral Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.