Active NPI
Juan Francisco Maldonado Marin, OTR
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1477755403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 634
- Practice address
- Park Gardens
A-16 Maracaibo Street
San Juan, PR 00926-2203 - Phone
- (787) 761-5842
- NPI assigned
- Jun 1, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 634 | PR | Primary |
Addresses
Primary practice location
Park Gardens
A-16 Maracaibo Street
San Juan, PR 00926-2203
Mailing address
Park Gardens
A-16 Maracaibo Street
San Juan, PR 00926-2203
Phone (787) 761-5842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 634 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477755403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARK GARDENS",
"address_2": "A-16 MARACAIBO STREET",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262203",
"telephone_number": "787-761-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARK GARDENS",
"address_2": "A-16 MARACAIBO STREET",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262203",
"telephone_number": "787-761-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO MARIN",
"first_name": "JUAN",
"middle_name": "FRANCISCO",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Crystal Kareliz Maldonado Carrion, PHD
- Vanessa Marie Maldonado Colon, MPHGERO, LND
- Jose Miguel Maldonado Cortes, MD
- Carolina Maldonado Diaz
- Linette Maldonado Lugo
- Jose Julian Maldonado Mendez
- Minerva Maldonado Ortiz, 0679P
- Lia Isabel Maldonado Padua
- Alex Maldonado Perez, DMD
- Julio Neil Maldonado Rodriguez, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.