Angel Luis Maldonado, M.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

JEPPR#5480 Issued in PR

Practice address

HC 1 Box 3146
Lares, PR 00669-9603

Phone

(787) 245-3430

NPI assigned

Apr 29, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1831576826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3146",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-245-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3146",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699603",
            "telephone_number": "787-245-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "JEPPR#5480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20150424",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ileana Marys Lopez, PHARMD
• Carmen N Lugo, BS PH
• Vanessa Lugo, OT
• Lumen Mendez Pharmacy/Farmacia Lumen Mendez
• Willie Nelson Malave, M.D.
• Belen Maldonado
• Desiree Maldonado
• Xiomara D. Martinez, APT
• Juan Matias, MD
• Med Solutions Inc

• Mental Health Counselor in Lares, PR
• Providers in Lares, PR by specialty
• Mental Health Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.