Aleyda E Maldonado, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3903 Issued in PR

Practice address

1788 Calle Julio Aybar
San Juan, PR 00921-4410

Phone

(787) 513-5888

Fax

(787) 561-7464

NPI assigned

Jul 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1417244138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 CALLE SAUCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276718",
            "telephone_number": "787-513-5888",
            "fax_number": "787-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 CALLE JULIO AYBAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214410",
            "telephone_number": "787-513-5888",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "779 Calle Lola Rodriguez De Tio",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009242509",
            "country_code": "US",
            "telephone_number": "787-513-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ALEYDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3903",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo J Maldonado-Colon
• Juan M Maldonado-Lozada, PHARM D, BCPS, RPH
• Awilda M Maldonado-Mercado, MD
• Jaime L Maldonado-Moll, DDS
• Marjorie Maldonado-Perez
• Amanda Graciela Maldonado, PHD
• Carelsie Odalis Maldonado
• Carlos Javier Maldonado, D.M.D.
• Concepcin Maldonado, M.D.
• Cynthia Maldonado, M.S., SLP

• Clinical Neuropsychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Neuropsychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.