Organization Active NPI

Juan a Maldonado MD PA

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1902880487
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2744 Issued in TX
Legal business name
JUAN A MALDONADO MD PA
Practice address
2106 Hale Ave
Harlingen, TX 78550-8408
Phone
(956) 423-9111
Fax
(956) 423-9273
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Priscilla Maldonado
Title
Practice Manager
Phone
(956) 423-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K2744 TX Primary

Addresses

Primary practice location

2106 Hale Ave
Harlingen, TX 78550-8408

Mailing address

2106 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 423-9111

Other identifiers 1

IdentifierTypeStateIssuer
0132PUOtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • Juan A Maldonado MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000626 TX Part B Supplier - Clinic/Group Practice 0547288144 Receives reassigned benefits from 3 practitioners
Practice locations: Harlingen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0962208Juan a Maldonado MD PA2106 Hale Ave, Harlingen, TX 78550Provider-performed microscopyJun 24, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDGCA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1902880487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HALE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HALE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A MALDONADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "956-423-9111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0132PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juan A Maldonado MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.