CHRISTIAN JANICK MALDONADO CRESPO (NPI# 1629537972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629537972 |
| Entity Type | Individual |
| Full Name | CHRISTIAN JANICK MALDONADO CRESPO |
| Practice Address |
104 Calle Jose G Padilla Ste 101 Mayaguez PR 00682-5773 |
| Mailing Address |
Po Box 3221 Mayaguez PR 00681-3221 |
| Practice Telephone | 9396300378 |
| Mailing Telephone | 9396300378 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
104 CALLE JOSE G PADILLA STE 101 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00682-5773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437136 | Laura Andrea Rosado Gonzalez | Internal Medicine | Paseo Los Robles, Los Caminos, #1805, Mayaguez, PR 00682 | 2020-08-13 |
| 1649898875 | Grupo Ng L.l.c | Pharmacy | Plaza De Hostos Local 8 Carr #2 Km 151, Mayaguez, PR 00682 | 2020-07-14 |
| 1023639127 | Eugenio Alejandro Sanchez Perez IIi | Physician Assistant | Urb. Los Versalles, Calle Luis Xiv #2042, Mayaguez, PR 00682 | 2020-04-29 |
| 1285267864 | Farmacia Ajl LLC | Pharmacy | Carr 108 Km 2.6, Mayaguez, PR 00682 | 2020-02-21 |
| 1487202198 | Benjamin Colucci Bisot | Psychologist | Alturas De Mayaguez, Calle Torrecillas 913, Mayaguez, PR 00682 | 2019-08-27 |
| 1356997084 | Rafael Munoz | Massage Therapist | Cond La Cima Apt A602, Urb Paseo Los Robles, Mayaguez, PR 00682 | 2019-08-19 |
| 1194377382 | Eduardo Alberto Lindsay | Family Medicine | Hostos 410 Carretera 2, Mayaguez, PR 00682 | 2019-07-09 |
| 1194382606 | Melanie Mercado | Psychologist | 1588 Carr 108 Km 4.3, Bo Miradero, Mayaguez, PR 00682 | 2019-05-21 |
| 1497229355 | Israel Laracuente | Student in an Organized Health Care Education/Training Program | 3111 Calle Atalaya, Alturas De Mayaguez, Mayaguez, PR 00682 | 2019-01-14 |
| 1528540861 | Elsie Maria Rodriguez Palermo | Psychologist | 445 Gonzalez Clemente Ave, Val Harbour Plaza Suite 301, Mayaguez, PR 00682 | 2018-09-04 |
| Find all providers in zip 00682 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679287 | Yamil Torres Rivera | Student in an Organized Health Care Education/Training Program | 706 Calle Turabo, Mayaguez, PR 00680-5184 | 2020-11-02 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1205454493 | Paola Del Mar Morales Vargas | Student in an Organized Health Care Education/Training Program | Carr. 348 Km. 8.1 Bo Rosario, Mayaguez, PR 00680-9033 | 2020-07-14 |
| 1790342491 | Freddie Irizarry-delgado | Student in an Organized Health Care Education/Training Program | 15 Calle Doctor Basora, Mayaguez, PR 00681 | 2019-05-29 |
| 1457810111 | Timothy Torrellas | Student in an Organized Health Care Education/Training Program | 435 Calle Alameda, Mayaguez, PR 00680-1610 | 2019-03-13 |
| 1770040180 | Jose Alfredo Molina Moreno | Student in an Organized Health Care Education/Training Program | 410 Ave Hostos Carretera 2 Barrio Sabalos, Mayaguez, PR 00680 | 2019-02-22 |
| 1376009910 | Jessica Margaret Castillo | Student in an Organized Health Care Education/Training Program | 31 Ave Los Maestros, Mayaguez, PR 00682-5948 | 2019-02-19 |
| 1871058693 | Adriana Lynn Vargas Figueroa | Student in an Organized Health Care Education/Training Program | 165 Mendez Vigo East, Mayaguez, PR 00680 | 2019-02-06 |
| 1447714209 | Sherley Collado Justinano | Student in an Organized Health Care Education/Training Program | 743 Calle Los Ingenieros, Mayaguez, PR 00682-7708 | 2019-01-25 |
| 1497229355 | Israel Laracuente | Student in an Organized Health Care Education/Training Program | 3111 Calle Atalaya, Alturas De Mayaguez, Mayaguez, PR 00682 | 2019-01-14 |
| Find all providers in MAYAGUEZ | ||||
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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.