Beatriz Maldonado, OTL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

754 Issued in PR

Practice address

Calle / Cedro #418
Vistas de Rio Grande II
Rio Grande, PR 00745

Phone

(787) 949-7592

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1851789812",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "VISTAS DE RIO GRANDE I I",
            "address_2": "CALLE/ CEDRO #418",
            "city": "RIO GRANDE",
            "state": "PUERTO RICO",
            "postal_code": "00745",
            "telephone_number": "787-949-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE / CEDRO #418",
            "address_2": "VISTAS DE RIO GRANDE II",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-949-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "BEATRIZ",
        "name_prefix": "Mrs.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PR",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESIONAL LICENSE",
            "identifier": "754",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel E. Lopez-Reyes, M.D.
• Carmen Lopez, M.D
• Pamela Anastacia Lugo Correia, TECHNICIAN
• Leopoldo R Luna, DDS
• Sandra D Maldonado-Rosario, M.D.
• Vilmania G. Mambru Tavarez, PSY D
• Anaymi Marquez, SLP
• Maria E Marquez
• Luis Orlando Martinez-Rijos, RPHTCH
• Giselle Marie Martinez, MS, CCC-SLP

• Pediatric Occupational Therapist in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Pediatric Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.