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DR. JOSE IVAN MALDONADO D.D.S.
NPI 1104897479
Dentist in Vega Alta, PR

Active since January 27, 2006PECOS Enrolled
48 CALLE TEODOMIRO RAMIREZ, VEGA ALTA, PR 00692(787) 883-2030(787) 270-2908 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jose Ivan Maldonado D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE IVAN MALDONADO D.D.S. (NPI 1104897479) is an individual dentist in Vega Alta, Puerto Rico, licensed in Puerto Rico (1778) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104897479
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSE IVAN MALDONADOCredential: D.D.S.
Location Address48 CALLE TEODOMIRO RAMIREZVega Alta, PR 00692-6518
Mailing Address400 Carr 2Vega Alta, PR 00692-6069 · (787) 883-2030
Phone(787) 883-2030
Fax(787) 270-2908
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMarch 14, 2016
✔ NPI 1104897479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PR · 1778
Definition
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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Ivan Maldonado D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00692 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Maldonado's NPI number?

The NPI number for Jose Maldonado is 1104897479. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jose Maldonado located?

Jose Maldonado practices at 48 Calle Teodomiro Ramirez, Vega Alta, PR 00692. The listed phone number is (787) 883-2030.

What is Jose Maldonado's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jose Maldonado enrolled in Medicare?

Yes. Jose Maldonado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Maldonado was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.