Active NPI
Rodolfo Adrian Maldonado
- Case Manager/Care Coordinator
- Socorro, NM
National Provider Identifier
1417865262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 804 Loma Encantada St
Socorro, NM 87801-4752 - Phone
- (575) 517-0080
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Primary |
Addresses
Primary practice location
804 Loma Encantada St
Socorro, NM 87801-4752
Mailing address
804 Loma Encantada St
Socorro, NM 87801-4752
Phone (575) 517-0080
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": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1417865262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 LOMA ENCANTADA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014752",
"telephone_number": "575-517-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 LOMA ENCANTADA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014752",
"telephone_number": "575-517-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "RODOLFO",
"middle_name": "ADRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.