Maricarmen Maldonado, MT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1149 Issued in PR

Practice address

Carr 685 KM 2.9
Bo Tierras Nuevas Saliente
Manati, PR 00674

Phone

(787) 884-4676

Fax

(787) 884-4676

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Sex

Female

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

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Tierras Nuevas Inc

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1194991422

  O20080613000166

  Same enrollment

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1972765923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VIA AVENTURA APT 7203",
            "address_2": "URB ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766190",
            "telephone_number": "787-946-5653",
            "fax_number": "787-946-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 685 KM 2.9",
            "address_2": "BO TIERRAS NUEVAS SALIENTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-4676",
            "fax_number": "787-884-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARICARMEN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Lidia Maldonado Trinidad, PSY.D., MAED., MAR,
• Felix Maldonado Trinidad
• Mirna Maldonado Vega, MD
• Elisa Maldonado
• Maribel Maldonado
• Ruben Maldonado
• Angela Manana
• Manat9I Chiropractic Center LLC
• Manati Cardiovascular Care LLC
• Manati Gastrointestinal Office PSC

• Clinical Medical Laboratory in Manati, PR
• Providers in Manati, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.