Active NPI
Joseph Manuel Maldonado, M.D.
- Cardiovascular Disease Physician
- Arecibo, PR
National Provider Identifier
1508937707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12055
- Practice address
- 158 Calle Delfin Olmo
Arecibo, PR 00612-4672 - Phone
- (787) 817-0763
- Fax
- (787) 879-8671
- NPI assigned
- Nov 11, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12055 | PR | Primary |
Addresses
Primary practice location
158 Calle Delfin Olmo
Arecibo, PR 00612-4672
Mailing address
PO Box 454
Arecibo, PR 00613-0454
Phone (787) 817-0763
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 |
|---|---|---|---|---|
| I20120308000668 | PR | Practitioner - Cardiovascular Disease (Cardiology) | 4789843863 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
158 Calle Delfin Olmo
Arecibo, PR 00612-4770
Phone (787) 817-0763
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1972531218
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508937707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 454",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006130454",
"telephone_number": "787-817-0763",
"fax_number": "787-879-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 CALLE DELFIN OLMO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124672",
"telephone_number": "787-817-0763",
"fax_number": "787-879-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "JOSEPH",
"middle_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "12055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.