Active NPI
Karla Michelle Maldonado, D.M.D.
- Pediatric Dentistry
- Guaynabo, PR
National Provider Identifier
1912088451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2697
- Practice address
- 101 Ave San Patricio Ste 830
Maramar Plaza
Guaynabo, PR 00968-2679 - Phone
- (787) 918-2737
- Fax
- (787) 783-7320
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2697 | PR | Primary |
Addresses
Primary practice location
101 Ave San Patricio Ste 830
Maramar Plaza
Guaynabo, PR 00968-2679
Mailing address
#1 Ave. Palma Real Apt. 1411
Murano Luxury Apartments
Guaynabo, PR 00969
Phone (787) 946-4953
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2697 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Periodoncia E Implantes de PR, PSC | Past | Accepting new patients | |
| Centro de Periodoncia E Implantes de PR,PSC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Periodontics
- Guaynabo, PR
- NPI 1144596537
-
- Dental Clinic/Center
- Guaynabo, PR
- NPI 1962685701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1912088451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#1 AVE. PALMA REAL APT. 1411",
"address_2": "MURANO LUXURY APARTMENTS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-946-4953",
"fax_number": "787-783-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AVE SAN PATRICIO STE 830",
"address_2": "MARAMAR PLAZA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009682679",
"telephone_number": "787-918-2737",
"fax_number": "787-783-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "KARLA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "2697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Jose Rafael Maldonado Soler, MD COUNSELING PSYC
- Jorge Maldonado Velazquez, 1888P
- Ivelisse J. Maldonado-Morales, PSY. D.
- Coralia Krystal Maldonado
- Hector Ignacio Maldonado, M.D.
- Laura Desiree Maldonado
- Mara Maldonado, DMD
- Maria Elisa Maldonado, PSYD
- Rayza Vicmarie Maldonado, PHD
- Juan Carlos Malpica-Santiago, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.