Individual provider Active NPI

Mariel M. Saade Maldonado, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1801414859
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22499 Issued in PR
Practice address
110 Calle del Parque FL 1
San Juan, PR 00911-1901
Phone
(787) 365-3537
Fax
(786) 590-1651
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 22499 PR
General Practice Physician 208D00000X 22499 PR Primary

Addresses

Primary practice location

110 Calle del Parque FL 1
San Juan, PR 00911-1901

Mailing address

1959 Calle Loiza Lbby 6414
San Juan, PR 00911-1865
Phone (787) 365-3537

Other practice location 1

1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 365-3537

Other practice location 2

1959 Calle Loiza Lbby 6414
San Juan, PR 00911-1865
Phone (787) 365-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117002147 PR Practitioner - General Practice 4183013907 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22499PRMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince Oct 15, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1801414859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 CALLE LOIZA LBBY 6414",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111865",
            "telephone_number": "787-365-3537",
            "fax_number": "786-590-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE DEL PARQUE FL 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111901",
            "telephone_number": "787-365-3537",
            "fax_number": "786-590-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Ave Ashford",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009071511",
            "country_code": "US",
            "telephone_number": "787-365-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 Calle Loiza Lbby 6414",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009111865",
            "country_code": "US",
            "telephone_number": "787-365-3537",
            "fax_number": "786-590-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAADE MALDONADO",
        "first_name": "MARIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "PR",
            "license": "22499",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.