Active NPI
Stephanie Maldonado
- Specialist
- San Juan, PR
National Provider Identifier
1508467713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- Condominio Asia, 1503 Calle Prof. Augusto Rodriguez
Suite 600
San Juan, PR 00909 - Phone
- (787) 497-0800
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
Condominio Asia, 1503 Calle Prof. Augusto Rodriguez
Suite 600
San Juan, PR 00909
Mailing address
8169 Calle Concordia Suite 412 Cond. San Vicente
Ponce, PR 00717-1567
Phone (787) 284-5884
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Ararat Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1962946426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1508467713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA SUITE 412 COND. SAN VICENTE",
"city": "PONCE",
"state": "PR",
"postal_code": "007171567",
"telephone_number": "787-284-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO ASIA, 1503 CALLE PROF. AUGUSTO RODRIGUEZ",
"address_2": "SUITE 600",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-497-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"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 Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.