Michelle Janice Nieves Maldonado, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22676 Issued in PR

Practice address

VA Caribbean Health System
10 Calle Casia
San Juan, PR 00921

Phone

(787) 641-7582

NPI assigned

Mar 8, 2019

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mennonite General Hospital Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humacao, PR
  • NPI 1487371399
  NPD (past)
• Mennonite General Hospital Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guayama, PR
  • NPI 1215301965
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1851859896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 AVE. DE DIEGO GALLERY PLAZA",
            "address_2": "APT. 1606S",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-533-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA CARIBBEAN HEALTH SYSTEM",
            "address_2": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES MALDONADO",
        "first_name": "MICHELLE",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Cristina Nieves Caro, PHARMD
• Hector Alois Nieves Figueroa, MD
• Pedro Luis Nieves Garnica I, M.D.
• Benjamin Nieves Lopez, MD
• Sheila Nieves Lozada, MD
• Aleida G Nieves Martinez, MD
• Ileana Marie Nieves Martinez
• Kathleen Nieves Mas, MD
• Amairy Nieves Medina, BSN
• Marie Lisabeth II Nieves Nieves, MS-SLP

• Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.