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

Active since August 04, 2010PECOS Enrolled
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: July 19, 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.

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
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Millissette D 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.

Frequently Asked Questions

What is Millissette Maldonado's NPI number?

The NPI number assigned to this healthcare provider is 1568776359, enumerated as an "individual" on August 04, 2010.

Where is the provider located?

The provider is located at CONDOMINIO EL CENTRO 2 AVE MUNOZ RIVERA APARTAMENTO 1401 SAN JUAN, PR 00918 and the phone number is (787) 974-0563.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.