Organization Active NPI

Carlos Maldonado D.O.,P.a.

  • Diagnostic Radiology Physician
  • Harlingen, TX
National Provider Identifier
1699147082
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J7064 Issued in TX
Legal business name
CARLOS MALDONADO D.O.,P.A.
Practice address
508 Victoria LN
Harlingen, TX 78550-3225
Phone
(956) 425-9600
Fax
(956) 581-0313
NPI assigned
Oct 23, 2015
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Carlos Maldonado, D.O.
Title
Ceo
Phone
(956) 421-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J7064 TX Primary

Addresses

Primary practice location

508 Victoria LN
Harlingen, TX 78550-3225

Mailing address

2933 Lazy Lake Dr
Harlingen, TX 78550-8633
Phone (956) 421-3383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1699147082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 LAZY LAKE DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508633",
            "telephone_number": "956-421-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 VICTORIA LN",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503225",
            "telephone_number": "956-425-9600",
            "fax_number": "956-581-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS MALDONADO D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-421-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J7064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.