Active NPI
Javier Maldonado
- Massage Therapist
- Caguas, PR
National Provider Identifier
1750868204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 685
- Practice address
- Del Rio Shopping Local A2-1
Caguas, PR 00726 - Phone
- (787) 653-5353
- NPI assigned
- Jul 26, 2018
- Last updated
- Apr 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 685 | PR | Primary |
Addresses
Primary practice location
Del Rio Shopping Local A2-1
Caguas, PR 00726
Mailing address
PO Box 7589
Caguas, PR 00726-7589
Phone (787) 653-5353
Other practice location 1
51 Calle Manuel Corchado
Cayey, PR 00736-3811
Phone (787) 738-8470
Other practice location 2
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-3120
Other practice location 3
7 Calle Dufresne
Humacao, PR 00791
Phone (787) 656-2445
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mediko Medicina Primaria Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Caguas, PR
- NPI 1609096981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1750868204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7589",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007267589",
"telephone_number": "787-653-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEL RIO SHOPPING LOCAL A2-1",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-653-5353"
}
],
"practiceLocations": [
{
"address_1": "51 Calle Manuel Corchado",
"address_purpose": "LOCATION",
"city": "Cayey",
"state": "PR",
"postal_code": "007363811",
"country_code": "US",
"telephone_number": "787-738-8470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Ave Luis Munoz Marin",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007256184",
"country_code": "US",
"telephone_number": "787-653-3120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Calle Dufresne",
"address_purpose": "LOCATION",
"city": "Humacao",
"state": "PR",
"postal_code": "00791",
"country_code": "US",
"telephone_number": "787-656-2445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "JAVIER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PR",
"license": "685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.