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JELLYTZA MALDONADO MD
NPI 1316928625
Internal Medicine in San Juan, PR

Active since November 14, 2005PECOS Enrolled
1225 AVE PONCE DE LEON STE 106, PONCE DE LEON AVE, SAN JUAN, PR 00907(787) 250-0852(787) 250-0852 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jellytza Maldonado Md NPPES

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

JELLYTZA MALDONADO MD (NPI 1316928625) is an individual internal medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (12119) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316928625
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJELLYTZA MALDONADOCredential: MD
Location Address1225 AVE PONCE DE LEON STE 106, PONCE DE LEON AVESan Juan, PR 00907-3951
Mailing Address1225 Ave Ponce De Leon Ste 106, Ponce De Leon AveSan Juan, PR 00907-3951 · (787) 250-0852 · Fax (787) 250-0852
Phone(787) 250-0852
Fax(787) 250-0852
Sole ProprietorYes
Enumeration DateNovember 14, 2005
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1316928625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 12119
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1225 AVE PONCE DE LEON STE 106, San Juan, PR 00907
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Other Identifiers 2

Medicare ID-Type Unspecified89931PR
Medicare UPINH39763

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jellytza Maldonado Md 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 00907 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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 Jellytza Maldonado's NPI number?

The NPI number for Jellytza Maldonado is 1316928625. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jellytza Maldonado located?

Jellytza Maldonado practices at 1225 Ave Ponce De Leon Ste 106 Ponce De Leon Ave, San Juan, PR 00907. The listed phone number is (787) 250-0852.

What is Jellytza Maldonado's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jellytza Maldonado enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jellytza Maldonado was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.