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DR. MILLISSETTE D MALDONADO MD
NPI 1568776359
General Practice in San Juan, PR

Active since August 04, 2010PECOS EnrolledAccepts Medicare Assignment
CONDOMINIO EL CENTRO 2, AVE MUNOZ RIVERA APARTAMENTO 1401, SAN JUAN, PR 00918(787) 974-0563 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Millissette D Maldonado Md NPPES

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

DR. MILLISSETTE D MALDONADO MD (NPI 1568776359) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (17974) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1568776359
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MILLISSETTE D MALDONADOCredential: MD
Location AddressCONDOMINIO EL CENTRO 2, AVE MUNOZ RIVERA APARTAMENTO 1401San Juan, PR 00918-3300
Mailing Address519 Calle Eddie GraciaSan Juan, PR 00918-2649 · (787) 974-0563
Phone(787) 974-0563
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 4, 2010
Last NPPES UpdateMay 8, 2017
✔ NPI 1568776359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 17974
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
CONDOMINIO EL CENTRO 2, San Juan, PR 00918
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Millissette D Maldonado Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294903555
PECOS Enrollment IDI20110713000189
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Millissette Maldonado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med Centro, Inc.
Federally Qualified Health Center (FQHC)
CARR 385 # KM.5, CUEVAS WARD
Penuelas, PR 00624
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 94 clinicians in this Medicare group
NPI 1225301641 (787) 843-9393
Salud 2011, Inc.
Family Medicine
32 CALLE MAYAGUEZ
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1821392309 (787) 294-9371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Millissette Maldonado's NPI number?

The NPI number for Millissette Maldonado is 1568776359. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Millissette Maldonado located?

Millissette Maldonado practices at Condominio El Centro 2 Ave Munoz Rivera Apartamento 1401, San Juan, PR 00918. The listed phone number is (787) 974-0563.

What is Millissette Maldonado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Millissette Maldonado enrolled in Medicare?

Yes. Millissette Maldonado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Millissette Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Millissette Maldonado reassigns Medicare benefits to 2 organizations: Med Centro, Inc. (Penuelas, PR) and Salud 2011, Inc. (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Millissette Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Millissette Maldonado was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.