Individual provider Active NPI

Hector Ignacio Maldonado, M.D.

  • Dermatology Physician
  • Guaynabo, PR
National Provider Identifier
1417951955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7695 Issued in PR
Practice address
Ave. Apolo Esq. Alejandrino
(Altos Fcia. Luis)
Guaynabo, PR 00969
Phone
(787) 720-8194
Fax
(787) 720-8194
NPI assigned
Jun 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7695 PR Primary

Addresses

Primary practice location

Ave. Apolo Esq. Alejandrino
(Altos Fcia. Luis)
Guaynabo, PR 00969

Mailing address

1214 Ave Magdalena
Cond. El Plaza Apt. 6
San Juan, PR 00907-1713
Phone (787) 720-8194

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
I20060808000356 PR Practitioner - Dermatology 0244233443 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2054 Calle Turquesa
Guaynabo, PR 00969-5106
Phone (787) 720-8194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions278
Removal of nail tissue1-10
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7695PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417951955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 AVE  MAGDALENA",
            "address_2": "COND. EL PLAZA APT. 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071713",
            "telephone_number": "787-720-8194",
            "fax_number": "787-720-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. APOLO ESQ. ALEJANDRINO",
            "address_2": "(ALTOS FCIA. LUIS)",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-720-8194",
            "fax_number": "787-720-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "HECTOR",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.