Active NPI
Myriam Maldonado Rivera, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1578572319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14247
- Practice address
- Aq35 Ave Laurel
Santa Juanita
Bayamon, PR 00956-4725 - Phone
- (787) 995-0445
- Fax
- (787) 995-0445
- NPI assigned
- Aug 7, 2006
- Last updated
- Mar 17, 2017
- 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 | 14247 | PR | Primary |
Addresses
Primary practice location
Aq35 Ave Laurel
Santa Juanita
Bayamon, PR 00956-4725
Mailing address
Aq35 Ave Laurel
Santa Juanita
Bayamon, PR 00956-4725
Phone (787) 995-0445
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14247 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico Y Bacteriologico Laurel 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1376759621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1578572319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AQ35 AVE LAUREL",
"address_2": "SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564725",
"telephone_number": "787-995-0445",
"fax_number": "787-995-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AQ35 AVE LAUREL",
"address_2": "SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564725",
"telephone_number": "787-995-0445",
"fax_number": "787-995-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO RIVERA",
"first_name": "MYRIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Yolanda Maldonado Maldonado, MT
- Yashira Enid Maldonado Martinez, ND
- Katiria Anyelis Maldonado Montalvo
- Hiram Maldonado Rivera, M.D.
- Mario Maldonado Rivera Jr., PA
- Lucybeth Maldonado Santiago, M.S. SLP.
- Carlos I Maldonado Santos, M.D.
- Frances Marie Maldonado Torres, MD
- Felix Maldonado, DDS
- Gladys Yolanda Maldonado, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.