Leslie E Maldonado, PH D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1417 Issued in PR

Practice address

10 Calle Casia
116 B Psychology Service
San Juan, PR 00921-3200

Phone

(787) 641-7582

Fax

(787) 641-5881

NPI assigned

May 27, 2008

Last updated

Mar 24, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1487812533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CASIA ST",
            "address_2": "VA CARIBBEAN HEALTHCARE SYSTEM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "address_2": "116 B PSYCHOLOGY SERVICE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "LESLIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "2407",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Maldonado
• Jackeline Maldonado, RN, MSN'S
• Jellytza Maldonado, MD
• Jonathan Maldonado
• Juan Mario Maldonado, M.D.
• Luz E Maldonado
• Lyssette J Maldonado, M.D.
• Maricelys Zohet Maldonado
• Marta Evangelina Maldonado, BSN, RN
• Melba Esther Maldonado, RPH

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.