Ivelisse Maldonado, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS43126 Issued in FL

Practice address

9300 NW 77TH Ave
Miami Lakes, FL 33016-2504

Phone

(305) 819-0858

Fax

(305) 819-6570

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1932709045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 SW 135TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566853",
            "telephone_number": "787-397-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 77TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162504",
            "telephone_number": "305-819-0858",
            "fax_number": "305-819-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "IVELISSE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Orthodontics of Miami Lakes, P.a.
• Main Street Orthodontics of Miami Lakes, PA
• Maju'S Home Care, Inc.
• Yusnely Makence Letts
• Daniella J Maldonado-Ortega
• Maldox Corporation
• Ieva Malhotra, MD
• Althea Harrison Malone, LCSW
• Thalena Malvarez Padron
• Managed Education Inc

• Pharmacist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.