Active NPIIndividual providerSole proprietor

Jellytza Maldonado, MD

Internal Medicine in San Juan, Puerto Rico

NPI Number1316928625
Practice location
1225 Ave Ponce De Leon Ste 106, Ponce De Leon Ave, San Juan, PR 00907-3951
Fax
787-250-0852
Last updated
February 24, 2015

Jellytza Maldonado is an Internal Medicine based in San Juan, PR. Jellytza Maldonado practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Jellytza Maldonado is 1316928625 and holds a License No. 12119 (PR). The current practice location address for Jellytza Maldonado is 1225 Ave Ponce De Leon Ste 106, Ponce De Leon Ave, San Juan, PR 00907-3951 and can be reached out via phone at 787-250-0852 and via fax at 787-250-0852.

Provider Profile Details

NPI Number
1316928625
Provider Name
Jellytza Maldonado
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1225 Ave Ponce De Leon Ste 106, Ponce De Leon Ave, San Juan, PR 00907-3951
Phone Number
787-250-0852
Fax Number
787-250-0852
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2005
Last Update Date
February 24, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1225 Ave Ponce De Leon Ste 106
Ponce De Leon Ave
San Juan, PR 00907-3951
Zip
00907-3951
Phone Number
787-250-0852
Fax Number
787-250-0852
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
1225 Ave Ponce De Leon Ste 106
Ponce De Leon Ave
San Juan, PR 00907-3951
City
San Juan
State
PR
Zip
00907-3951
Phone Number
787-250-0852
Fax Number
787-250-0852

License Information

License Number
12119
License State
PR
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jellytza Maldonado, MD?

The NPI number of Jellytza Maldonado, MD is 1316928625. It was assigned on November 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Jellytza Maldonado, MD?

Jellytza Maldonado, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 12119.

Where does Jellytza Maldonado, MD practice?

The practice location is 1225 Ave Ponce De Leon Ste 106, Ponce De Leon Ave, San Juan, PR 00907-3951. The office can be reached at 787-250-0852 (phone) or 787-250-0852 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316928625 directly on the NPPES registry website.

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