Juan Mario Maldonado, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13170 Issued in PR

Practice address

735 Avenida Ponce de Leon
Torre del Auxilio Mutuo
San Juan, PR 00918

Phone

(787) 751-6701

Fax

(787) 763-6259

NPI assigned

Aug 10, 2006

Last updated

May 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1720099278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193946",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193946",
            "telephone_number": "787-751-6701",
            "fax_number": "787-751-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVENIDA PONCE DE LEON",
            "address_2": "TORRE DEL AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-6701",
            "fax_number": "787-763-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JUAN",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuelle Maldonado Sr., S.W.C
• Felix Maldonado
• Jackeline Maldonado, RN, MSN'S
• Jellytza Maldonado, MD
• Jonathan Maldonado
• Leslie E Maldonado, PH D
• Luz E Maldonado
• Lyssette J Maldonado, M.D.
• Maricelys Zohet Maldonado
• Marta Evangelina Maldonado, BSN, RN

• Plastic Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Plastic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.