Jesus Alberto Maldonado, MD

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

6458 Issued in PR

Practice address

Ave. Font Martelo #3
Hima Hospital Humacao
Humacao, PR 00791

Phone

(787) 656-2424

NPI assigned

Oct 10, 2005

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Transformatio, LLC

  • Medical Specialty Clinic/Center
  • Guaynabo, PR
  • NPI 1053904821
  NPD
• Maria Palou Physiatric Services, PSC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Piedras, PR
  • NPI 1801232004
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1467440982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I7 CALLE EBANO",
            "address_2": "APT. 1203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683100",
            "telephone_number": "787-793-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FONT MARTELO #3",
            "address_2": "HIMA HOSPITAL HUMACAO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-656-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JESUS",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose M Machicote, MD
• Malave Surgical Group,PSC
• Daisy Del Carmen Malave, RDA
• Evelyn Maldonado Camis, PHD
• Iris Nereida Maldonado
• Lillian Maldonado, RPHA
• Lillian Ivette Maldonado
• Mangual & Menchaca, Inc (Farmacia Marisel 2)
• Mangual & Menchaca, Inc. (Farmacia Marisel # 1)
• Marisel Mangual

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.