Active NPI
Eduardo J Maldonado-Colon
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
National Provider Identifier
1932563723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 021902
- Practice address
- 126 Ave de Diego, Ste 2
Sein Medical Plaza
San Juan, PR 00921-0001 - Phone
- (787) 208-2366
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME151503 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 021902 | PR | Primary |
Addresses
Primary practice location
126 Ave de Diego, Ste 2
Sein Medical Plaza
San Juan, PR 00921-0001
Mailing address
81 Carretera 20, Apt 2
Villas de Tivoli
Guaynabo, PR 00966-0001
Phone (787) 438-9157
Other practice location 1
3702 Washington St Ste 303
Hollywood, FL 33021-8287
Phone (954) 518-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110837500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
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.
-
- Physical Medicine & Rehabilitation Physician
- Hollywood, FL
- NPI 1750726378
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1932563723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 CARRETERA 20, APT 2",
"address_2": "VILLAS DE TIVOLI",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009660001",
"telephone_number": "787-438-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 AVE DE DIEGO, STE 2",
"address_2": "SEIN MEDICAL PLAZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009210001",
"telephone_number": "787-208-2366"
}
],
"practiceLocations": [
{
"address_1": "3702 Washington St Ste 303",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330218287",
"country_code": "US",
"telephone_number": "954-518-2424",
"fax_number": "954-981-3476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO-COLON",
"first_name": "EDUARDO",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2023-04-17",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME151503",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": "021902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110837500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Lindsey Marie Maldonado Sevilla
- Stephanie Maldonado Torres, MD
- Valerie Maldonado Torres, MD
- Ann M Maldonado Vazquez, M.D.
- Julia Haydee Maldonado-Alejandro, M.D.
- Juan M Maldonado-Lozada, PHARM D, BCPS, RPH
- Awilda M Maldonado-Mercado, MD
- Jaime L Maldonado-Moll, DDS
- Marjorie Maldonado-Perez
- Aleyda E Maldonado, PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.