Active NPI
Glenda Enid Vega Maldonado, MSW
- Social Worker
- San Juan, PR
National Provider Identifier
1912209552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10646
- Practice address
- 10 Calle Casia VA Medical Center
San Juan, PR 00921-3201 - Phone
- (787) 641-7582
- NPI assigned
- Dec 2, 2010
- Last updated
- Aug 17, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10646 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia VA Medical Center
San Juan, PR 00921-3201
Mailing address
1802 Calle Navarra Outpatient Clinic
Euripides Rubio Department of Veterans Affairs
Ponce, PR 00716
Phone (787) 677-4678
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 |
|---|---|---|---|
| 17104 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1912209552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 CALLE NAVARRA OUTPATIENT CLINIC",
"address_2": "EURIPIDES RUBIO DEPARTMENT OF VETERANS AFFAIRS",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-677-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA VA MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA MALDONADO",
"first_name": "GLENDA",
"middle_name": "ENID",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "10646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.