Individual provider Active NPI

Pedro R Martinez Maldonado, R.N.

  • Registered Nurse
  • Ponce, PR
National Provider Identifier
1841656352
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
35812 Issued in PR
Practice address
184 Calle Guadalupe Piso 2
Inspira Behavioral Care
Ponce, PR 00730-4325
Phone
(787) 974-9867
NPI assigned
Jan 13, 2016
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 35812 PR Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2236 PR

Addresses

Primary practice location

184 Calle Guadalupe Piso 2
Inspira Behavioral Care
Ponce, PR 00730-4325

Mailing address

J3 Calle E7A
Urb. Glenview Gardens
Ponce, PR 00730-4325
Phone (787) 974-9867

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2236PRMDProfessional Counselor
35812PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1841656352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J3 CALLE E7A",
            "address_2": "URB. GLENVIEW GARDENS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304325",
            "telephone_number": "787-974-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CALLE GUADALUPE PISO 2",
            "address_2": "INSPIRA BEHAVIORAL CARE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304325",
            "telephone_number": "787-974-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MALDONADO",
        "first_name": "PEDRO",
        "middle_name": "R",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "35812",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PR",
            "license": "2236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.