Individual provider Active NPI

Jose Rafael Maldonado Soler, MD COUNSELING PSYC

  • Counseling Psychologist
  • Guaynabo, PR
National Provider Identifier
1932861838
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6817 Issued in PR
Practice address
Carr 833 KM 12.2 Barrio Santa Rosa III
Guaynabo, PR 00970
Phone
(787) 435-2321
NPI assigned
Oct 7, 2021
Last updated
Mar 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6817 PR Primary

Addresses

Primary practice location

Carr 833 KM 12.2 Barrio Santa Rosa III
Guaynabo, PR 00970

Mailing address

Urb. Villa Espana
Calle Las Mercedes P58
Bayamon, PR 00961-7330
Phone (787) 938-1184

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6817PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Life LLC CurrentSince Oct 10, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1932861838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA ESPANA",
            "address_2": "CALLE LAS MERCEDES P58",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617330",
            "telephone_number": "787-938-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 833 KM 12.2 BARRIO SANTA ROSA III",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-435-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO SOLER",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "MD COUNSELING PSYC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.