Millissette D Maldonado, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17974 Issued in PR

Practice address

Condominio El Centro 2
Ave Munoz Rivera Apartamento 1401
San Juan, PR 00918-3300

Phone

(787) 974-0563

NPI assigned

Aug 4, 2010

Last updated

May 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: millissette.maldonado@medcentro.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  General Practice

  Medicare reassignment Care Compare group NPD
• Salud 2011, Inc.

  • Family Medicine Physician
  • San Juan, PR
  • NPI 1821392309

  General Practice

  Medicare reassignment NPD
• Med Centro Inc.

  • Federally Qualified Health Center (FQHC)
  • Juana Diaz, PR
  • NPI 1760755276
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD
• Centro Especializado de Medicina Integrada

  • Clinic/Center
  • Canovanas, PR
  • NPI 1760758155
  NPD (past)
• National Medical Centers Inc

  • General Practice Physician
  • Canovanas, PR
  • NPI 1285859942
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1568776359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CALLE EDDIE GRACIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182649",
            "telephone_number": "787-974-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO EL CENTRO 2",
            "address_2": "AVE MUNOZ RIVERA APARTAMENTO 1401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183300",
            "telephone_number": "787-974-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MILLISSETTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricelys Zohet Maldonado
• Marta Evangelina Maldonado, BSN, RN
• Melba Esther Maldonado, RPH
• Melvin Hipolito Maldonado, MD
• Miguel Maldonado
• Mirca Noemi Maldonado, TO
• Nancy Maldonado
• Nayda Maldonado, M.D.
• Nicole Marie Maldonado, DMD
• Nilda D Maldonado

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.

Verify at the official NPI Registry.