Individual provider Active NPI

Crystal Maldonado

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1972019115
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP135638 Issued in TX
Practice address
18626 Hardy Oak Blvd Ste 103
San Antonio, TX 78258-4219
Phone
(682) 683-2301
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135638 TX
Pediatric Nurse Practitioner 363LP0200X AP135638 TX Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd Ste 103
San Antonio, TX 78258-4219

Mailing address

8826 Hideout BND
San Antonio, TX 78254-4405
Phone (210) 771-1262

Other practice location 1

21038 US Highway 281 N Ste 100
San Antonio, TX 78258-7556
Phone (210) 874-5260

Other practice location 2

8540 Broadway St
Pearland, TX 77584-7710
Phone (346) 988-2344

Other practice location 3

5939 Babcock Rd Ste 112
San Antonio, TX 78240-3462
Phone (210) 874-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220000065 TX Practitioner - Nurse Practitioner 4183985948 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RRR Hyperbarics 2 LLCGroup PAC ID 4587927421, 5 clinicians
RRR Hyperbarics 6 LLCGroup PAC ID 8022400506, 7 clinicians

Practice addresses (Care Compare)

18626 Hardy Oak Blvd
Suite 103
San Antonio, TX 78258-4219
Phone (817) 881-8571

8540 Broadway St
Suite 112
Pearland, TX 77584-7716
Phone (817) 337-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135638TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RRR Hyperbarics 6, LLC CurrentSince Oct 15, 2025 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince May 21, 2025 Accepting new patients
RRR Hyperbarics 2, LLC CurrentSince Jul 14, 2025 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jan 12, 2023 Accepting new patients
Thoreau Clinic CurrentSince May 21, 2025 Accepting new patients
Blue Lotus Medical Group LLC CurrentSince Feb 1, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Nov 9, 2024 Accepting new patients
RRR Hyperbarics 7, LLC CurrentSince Oct 15, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients
Trinity Med Care Past Accepting new patients

Locations

7881 W Charleston Blvd
Ste 230
Las Vegas, NV 89117
Phone (702) 508-2153

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

215 Kingwood Executive Dr
Ste 150
Kingwood, TX 77339
Phone (346) 291-6950

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

9151 Boulevard 26
Ste 150B
North Richlnd Hls, TX 76180
Phone (682) 683-2300

8540 Broadway St
Ste 112
Pearland, TX 77584
Phone (682) 683-2300

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

18626 Hardy Oak Blvd
Ste 103
San Antonio, TX 78258
Phone (210) 582-5304

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1972019115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 HIDEOUT BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544405",
            "telephone_number": "210-771-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584219",
            "telephone_number": "682-683-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21038 US Highway 281 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587556",
            "country_code": "US",
            "telephone_number": "210-874-5260",
            "fax_number": "210-864-4838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8540 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847710",
            "country_code": "US",
            "telephone_number": "346-988-2344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5939 Babcock Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782403462",
            "country_code": "US",
            "telephone_number": "210-874-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135638",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP135638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.