Amanda Graciela Maldonado, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1785 Issued in PR

Practice address

1909 Calle Orquidea
San Juan, PR 00927-6714

Phone

(787) 430-4031

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1720602675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CALLE ORQUIDEA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276714",
            "telephone_number": "787-430-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CALLE ORQUIDEA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276714",
            "telephone_number": "787-430-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AMANDA",
        "middle_name": "GRACIELA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1785",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M Maldonado-Lozada, PHARM D, BCPS, RPH
• Awilda M Maldonado-Mercado, MD
• Jaime L Maldonado-Moll, DDS
• Marjorie Maldonado-Perez
• Aleyda E Maldonado, PH.D
• Carelsie Odalis Maldonado
• Carlos Javier Maldonado, D.M.D.
• Concepcin Maldonado, M.D.
• Cynthia Maldonado, M.S., SLP
• Emmanuelle Maldonado Sr., S.W.C

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.