Jose M Maldonado, CLINICAL PSYCHOLOGIS
Individual provider Active NPI Clinical Psychologist · Caquas, PR
NPI 1457554982 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457554982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 687 (PR)
- Practice address
- Ave Luis Munoz Marin Edificio Mercantil
Corporacion Fondo del Sequro del Estado
Caquas, PR 00725 - Phone
- (787) 746-2010
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 687 | PR | Yes |
Addresses
Primary practice location
Ave Luis Munoz Marin Edificio Mercantil
Corporacion Fondo del Sequro del Estado
Caquas, PR 00725
Mailing address
PO Box 8122
Caquas, PR 00726-8122
Phone (787) 237-3299
Other providers in Caquas, PR
- Edwin Bossolo
- Ivya E Diaz Vidal
- Instituto Gineco-Obstetrico de Caguas CSP
- Intermed OB GYN Group
- Pedro M Kareh-Cordero
All providers in Caquas, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.