Individual provider Active NPI

Aislinn Corabelle Frye-Maldonado, M.D.

  • Psychiatry Physician
  • Caguas, PR
National Provider Identifier
1407878705
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12756 Issued in PR
Practice address
30 Calle Padial
Gatsby Plaza Suite 314
Caguas, PR 00725-3597
Phone
(787) 746-2207
Fax
(787) 746-2207
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12756 PR Primary

Addresses

Primary practice location

30 Calle Padial
Gatsby Plaza Suite 314
Caguas, PR 00725-3597

Mailing address

PO Box 9570
Caguas, PR 00726-9570
Phone (787) 704-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000711 PR Practitioner - Psychiatry 0547173734 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Calle Padial
Caguas, PR 00725-3807
Phone (787) 746-2207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12756PRMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1407878705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9570",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269570",
            "telephone_number": "787-704-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL",
            "address_2": "GATSBY PLAZA SUITE 314",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253597",
            "telephone_number": "787-746-2207",
            "fax_number": "787-746-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE-MALDONADO",
        "first_name": "AISLINN",
        "middle_name": "CORABELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.