Jonathan Maldonado, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5822 Issued in PR

Practice address

Ave. El Jibaro, Carr. 172 KM. 13.5
Cidra, PR 00739

Phone

(787) 739-8182

NPI assigned

Oct 21, 2021

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Male

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

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGGFBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cossma Inc

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1437235793
  Medicare reassignment NPD
• Cossma, Inc.

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1407408347
  NPD
• Cossma

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1184026221
  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1427711811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 11 BOX 3686",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569691",
            "telephone_number": "787-463-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EL JIBARO, CARR. 172 KM. 13.5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PR 840, Km. 1.2, Lot 6",
            "address_2": "Villas del Olimpo",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00958",
            "country_code": "US",
            "telephone_number": "787-463-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Cll Ignacio Lopez Colon",
            "address_purpose": "LOCATION",
            "city": "Aibonito",
            "state": "PR",
            "postal_code": "00705",
            "country_code": "US",
            "telephone_number": "787-739-8182 x1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Luis Lopez, M.D.
• Maria M. Lopez, PED.
• Anyelis M. Lozada Carrasco
• Irma I Luna-Figueroa
• Jennifer Soleil Maldonado Emanuelli, PTA
• Marisol Collazo Ortiz Inc (DBA Laboratorio Clinico Centro Medicina Especializada)
• Amneris Marquez, PSIC
• Jesmarie Marquez, RN
• Maria del Mar Marrero Rosario, PHARMD
• Julio Armando Marrero-Guadalupe, MD

• Clinical Psychologist in Cidra, PR
• Providers in Cidra, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.