Active NPI
Luis Maldonado, RN
- Nephrology Registered Nurse
- Carolina, PR
National Provider Identifier
1629358080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Registered Nurse
- License
- 30183
- Practice address
- Carr # 3 KM 8.4
Paseo del Prado Shopping Center
Carolina, PR 00987 - Phone
- (787) 710-2532
- Fax
- (787) 750-2830
- NPI assigned
- Aug 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 30183 | PR | Primary |
| Nephrology Registered Nurse | 163WN0300X | RN 9268306 | FL |
Addresses
Primary practice location
Carr # 3 KM 8.4
Paseo del Prado Shopping Center
Carolina, PR 00987
Mailing address
374 Ext Vistas de Camuy
Camuy, PR 00627-2945
Phone (787) 356-4815
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9268306 | FL | MD | Nephrology Registered Nurse |
| 30183 | PR | MD | Nephrology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1629358080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 EXT VISTAS DE CAMUY",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272945",
"telephone_number": "787-356-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR # 3 KM 8.4",
"address_2": "PASEO DEL PRADO SHOPPING CENTER",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-710-2532",
"fax_number": "787-750-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "LUIS",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "PR",
"license": "30183",
"primary": true
},
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "FL",
"license": "RN 9268306",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.