George Harvey Maldonado, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3134TG Issued in TX

Practice address

8030 Bandera Rd
Suite 111
San Antonio, TX 78250-5130

Phone

(210) 767-9688

Fax

(210) 767-9658

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962559716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MORNING HILL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322712",
            "telephone_number": "210-767-9688",
            "fax_number": "210-767-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 BANDERA RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505130",
            "telephone_number": "210-767-9688",
            "fax_number": "210-767-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "GEORGE",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3134TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Argenis Maldonado
• David Maldonado
• Debanhi Maldonado, RBT
• Elaine Marie Maldonado, MD
• Evelyn Maldonado
• Gerardo Maldonado III, M.D.
• Humberto Max Maldonado, LPC
• Jacquelyn Maldonado
• Jaquelin Maldonado
• Jessica Maldonado, LCSW

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.