Individual provider Active NPI

Luis Maldonado, RN

  • Nephrology Registered Nurse
  • Carolina, PR
National Provider Identifier
1629358080
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Registered NurseTaxonomy code 163WN0300X
License
30183 Issued in PR
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

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN 9268306FLMDNephrology Registered Nurse
30183PRMDNephrology 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.

Verify at the official NPI Registry.