Carlos Ivan Maldonado, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15122 Issued in PR

Practice address

Calle Luis Munoz Rivera Final
Juncos, PR 00777

Phone

(787) 734-2737

Fax

(787) 734-2737

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Oceania Medical Center PSC

  • Medical Specialty Clinic/Center
  • Humacao, PR
  • NPI 1700220480
  NPD (past) Authorized official
• Gobierno Municipal de Juncos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Juncos, PR
  • NPI 1548730765
  NPD (past)
• Gobierno Municipal de Juncos

  • Health Service Clinic/Center
  • Juncos, PR
  • NPI 1598249302
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1609889229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 TWILIGHT ST",
            "address_2": "SUNRISE AT PALMAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916305",
            "telephone_number": "787-638-0064",
            "fax_number": "787-734-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA FINAL",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-2737",
            "fax_number": "787-734-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "CARLOS",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "15122",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linette Arlene Lugo, D.M.D
• Danny Luquis, RPH
• M&P Holistic Therapy Group
• Tamara Maffuz
• Marisol Maldonado Rodriguez, M.D.
• Celines Maldonado
• Katiria Mangual Cuadrado, CPL
• Jamillette Marcano Marcano, MA
• Mariela Marquez Pantoja, M.D.
• Sofia Beatriz Marrero-Medina

• Internal Medicine Physician in Juncos, PR
• Providers in Juncos, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.