Maldonado Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07674241 Issued in AZ

Legal business name

MALDONADO MEDICAL LLC

Practice address

19820 N 7TH Ave
Suite 230
Phoenix, AZ 85027-4736

Phone

(602) 265-0077

Fax

(602) 265-1551

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brandon James Maxon Maldonado

Title

President

Phone

(602) 265-0077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1710092168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE",
            "address_2": "SUITE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274736",
            "telephone_number": "602-265-0077",
            "fax_number": "602-265-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE",
            "address_2": "SUITE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274736",
            "telephone_number": "602-265-0077",
            "fax_number": "602-265-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDONADO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-265-0077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07674241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Malbul, MBBS
• Marichu Malchiodi
• Deborah Malcolm, NP
• Megan Malcom
• Kristine Abigael Malcomson, FNP
• Cailyn R Maldonado
• Daniela Maldonado
• Ellie Maldonado, RN
• Julie Armenta Maldonado
• Lincy Maldonado

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.