Active NPI
Jaime L Maldonado-Moll, DDS
- Dentist
- San Juan, PR
National Provider Identifier
1720084239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1224
- Practice address
- #249 Avenue Emiliano Pol
Urb. la Cumbre
San Juan, PR 00926-5639 - Phone
- (787) 720-0677
- Fax
- (787) 720-3266
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1224 | PR | Primary |
Addresses
Primary practice location
#249 Avenue Emiliano Pol
Urb. la Cumbre
San Juan, PR 00926-5639
Mailing address
497 Ave Emiliano Pol
San Juan, PR 00926-5602
Phone (787) 720-0677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1224 | PR | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720084239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 AVE EMILIANO POL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265602",
"telephone_number": "787-720-0677",
"fax_number": "787-720-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#249 AVENUE EMILIANO POL",
"address_2": "URB. LA CUMBRE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265639",
"telephone_number": "787-720-0677",
"fax_number": "787-720-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO-MOLL",
"first_name": "JAIME",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Ann M Maldonado Vazquez, M.D.
- Julia Haydee Maldonado-Alejandro, M.D.
- Eduardo J Maldonado-Colon
- Juan M Maldonado-Lozada, PHARM D, BCPS, RPH
- Awilda M Maldonado-Mercado, MD
- Marjorie Maldonado-Perez
- Aleyda E Maldonado, PH.D
- Amanda Graciela Maldonado, PHD
- Carelsie Odalis Maldonado
- Carlos Javier Maldonado, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.