Organization Active NPI

Jose Roel Maldonado Jr MD PA

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1790960524
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSE ROEL MALDONADO JR MD PA
Practice address
6828 Springfield Ave
Suite 3
Laredo, TX 78041-2286
Phone
(956) 791-8008
Fax
(956) 791-8098
NPI assigned
Dec 28, 2007
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Jose Roel Maldonado Jr., M.DNPI 1417091919
Title
Owner
Phone
(956) 791-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6828 Springfield Ave
Suite 3
Laredo, TX 78041-2286

Mailing address

PO Box 452309
Laredo, TX 78045-0057
Phone (956) 791-8008

National Provider Directory

National Provider Directory

Locations

6826 Springfield Ave
Ste 203
Laredo, TX 78041
Phone (956) 449-1818

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1790960524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452309",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450057",
            "telephone_number": "956-791-8008",
            "fax_number": "956-791-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 SPRINGFIELD AVE",
            "address_2": "SUITE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412286",
            "telephone_number": "956-791-8008",
            "fax_number": "956-791-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ROEL MALDONADO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-791-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.