Active NPI
Amy Santos Maldonado, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1497536049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24211
- Practice address
- PO Box 195248
San Juan, PR 00919-5248 - Phone
- (787) 665-0200
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24211 | PR | Primary |
Addresses
Primary practice location
PO Box 195248
San Juan, PR 00919-5248
Mailing address
440 Calle Alejandro Marrero
Ceiba Sabana
Vega Baja, PR 00693
Phone (787) 602-6151
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324003670 | PR | Practitioner - General Practice | 8325561921 | Practice locations: Aibonito, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24211 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1497536049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CALLE ALEJANDRO MARRERO",
"address_2": "CEIBA SABANA",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-602-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 195248",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009195248",
"telephone_number": "787-665-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS MALDONADO",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.