DR. JOSE IVAN MALDONADO (NPI# 1104897479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104897479 |
| Entity Type | Individual |
| Full Name | DR. JOSE IVAN MALDONADO |
| Credential | D.D.S. |
| Practice Address |
48 Calle Teodomiro Ramirez Vega Alta PR 00692-6518 |
| Mailing Address |
400 Carr 2 Vega Alta PR 00692-6069 |
| Practice Telephone | 7878832030 |
| Practice Fax Number | 7872702908 |
| Mailing Telephone | 7878832030 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1778 | PR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821531997 | Jose Maldonado | Clinical Nurse Specialist | 258 San Justo, Viejo San Juan, PUERTO RICO 00901 | 2016-11-22 |
| 1972707081 | Jose David Maldonado | Emergency Medical Technician, Basic | Bda Coll Y Toste Edificio-3, Apartamento -12, Arecibo, PR 00612 | 2007-06-13 |
| 1457554982 | Jose M Maldonado | Psychologist | Ave Luis Munoz Marin Edificio Mercantil, Corporacion Fondo Del Sequro Del Estado, Caquas, PR 00725 | 2007-06-11 |
| 1033284633 | Jose R Maldonado | Psychiatry & Neurology | Stanford Univ Sch of Medicine, 401 Quarry Road, Suite 2317, Stanford, CA 94305-5718 | 2006-11-21 |
| 1952949000 | Jose Maldonado | Case Manager/Care Coordinator | 310 E Palmdale Blvd, Palmdale, CA 93550-7145 | 2019-12-19 |
| 1518426956 | Jose Enrique Maldonado | Nurse Anesthetist, Certified Registered | 11750 Sw 40th St, Miami, FL 33175-3530 | 2019-03-15 |
| 1194271023 | Jose Maldonado | Behavioral Analyst | 4417 E.colonial Drive, Orlando, FL 32803-5219 | 2016-08-31 |
| 1922344662 | Jose Maldonado | Marriage & Family Therapist | 4035 N Fresno St Ste 101, Fresno, CA 93726-4041 | 2012-12-28 |
| 1417091919 | Jose Roel Maldonado Jr. | Family Medicine | 6828 Springfield Ave, Suite 3, Laredo, TX 78041-2286 | 2007-02-16 |
| 1487744306 | Jose Lopez Maldonado | Physician Assistant | 2604 Medical Office Pl, Goldsboro, NC 27534-9417 | 2006-10-13 |
| Street Address |
48 CALLE TEODOMIRO RAMIREZ |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| Find all providers in zip 00692 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655089 | Lrn Dental Services LLC | Dentist | 511 Northcoast Vlg, Vega Alta, PR 00692-8718 | 2018-07-09 |
| 1366809725 | Champion Dental PC | Dentist | Carretera 693 Km 13.7, Plaza Del Mar Sopping C Suite 201b, Vega Alta, PR 00646 | 2016-01-15 |
| 1215314901 | Dra. Maria M Umpierre, Psc | Dentist | 84 Calle Esmeralda, Cielo Dorado Village, Vega Alta, PR 00692-8808 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
| 1609419324 | National College and Business and Technology | Dentist | State Road #506 Km. 1.0, Coto Laurel, PR 00780-1243 | 2019-10-25 |
| 1124660113 | Nattali Rodriguez Vega | Dentist | 491 Camino Del Yunque, Urb Sabanera Dorado, Dorado, PR 00646 | 2019-10-11 |
| 1063054385 | Gabriela Nicolle Santiago Rodriguez | Dentist | 686 St, Villa Real, 1 A-1, Vega Baja, PR 00693 | 2019-10-09 |
| 1669031704 | Charlene Ramos Villanueva | Dentist | University of Puerto Rico, Medical Sciences Campus, Sch, Medical Center Complex, Barrio Monacillos, San Juan, PR 00936 | 2019-06-12 |
| 1508324880 | Marielys Nicole Alicea Castro | Dentist | Villas De La Playa, #174, Vega Baja, PR 00693 | 2019-03-06 |
| 1104380799 | Carina Perez-cisneros Armenteros | Dentist | University of Puerto Rico Ste B130c, Recinto De Ciencias Medicas Piso 1, San Juan, PR 00936-5067 | 2019-01-28 |
| 1831661941 | Juan Rafael Rivera Diaz | Dentist | 6 Calle Flor Gerena Norte, Humacao, PR 00791 | 2018-12-31 |
| 1902373707 | Arlene Sanchez | Dentist | Sdm Paseo Dr Celso Barbosa Medical Sciences Campus, San Juan, PR 00935-0001 | 2018-10-30 |
| 1073080016 | Telly Roman Rocca | Dentist | Carr. #2 Km. 65.6 Bo Factor 1, Arecibo, PR 00612 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.