Marcos E Maldonado, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME85899 Issued in FL

Practice address

21097 NE 27TH CT.
Suite 200
Aventura, FL 33180

Phone

(305) 652-6676

Fax

(305) 932-6335

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Specialized Dentistry, LLC

  • Periodontics
  • Stuart, FL
  • NPI 1780708701
  NPD (past)
• University of Miami

  • Rheumatology Physician
  • Miami, FL
  • NPI 1932151461
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1962467084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT.",
            "address_2": "SUITE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-652-6676",
            "fax_number": "305-932-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT.",
            "address_2": "SUITE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-652-6676",
            "fax_number": "305-932-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARCOS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME85899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660946-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Evan Maken, M.D.
• Venera Makhmudova
• Making a Difference With ABA LLC
• Sheyla Marie Malave Alicano
• Carolina Del Valle Malave, SA-C
• Zirkia Maldonado
• Samuel Malek
• Ali Malik, DO
• Heather Rebecca Malkoff, PSY.D.
• Managed Care Risk Solutions, Inc

• Rheumatology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.