Active NPI
Mayra Maldonado, M.D.
- Acupuncturist
- San Lorenzo, PR
National Provider Identifier
1902994445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13495
- Practice address
- Bo. Quemados Carr 183 KM 10.4
Suite 204
San Lorenzo, PR 00754 - Phone
- (787) 380-6011
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13495 | PR | Primary |
| General Practice Physician | 208D00000X | 13495 | PR |
Addresses
Primary practice location
Bo. Quemados Carr 183 KM 10.4
Suite 204
San Lorenzo, PR 00754
Mailing address
Hacienda San Jose
847 Via Placida
Caguas, PR 00727-3075
Phone (787) 380-6011
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 1277
Gurabo, PR 00778-1277
Urb Lago Alto
Calle Carite 130
Trujillo Alto, PR 00976-6007
Phone 78773723112058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neomed Center, Inc | Current | Accepting new patients | |
| Neomed Center, Inc | Current | Accepting new patients | |
| Neomed Center, Inc. | Current | Accepting new patients | |
| Premium Health Group Clinic | Past | Accepting new patients | |
| Laguna Gardens Radiology and Imaging Group Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Gurabo, PR
- NPI 1790776334
-
- Clinical Medical Laboratory
- Gurabo, PR
- NPI 1518286962
-
- Federally Qualified Health Center (FQHC)
- Naguabo, PR
- NPI 1093357337
-
- Mammography Clinic/Center
- Carolina, PR
- NPI 1497023592
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1306071451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902994445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HACIENDA SAN JOSE",
"address_2": "847 VIA PLACIDA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273075",
"telephone_number": "787-380-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. QUEMADOS CARR 183 KM 10.4",
"address_2": "SUITE 204",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "00754",
"telephone_number": "787-380-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "MAYRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PR",
"license": "13495",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- 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.