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RICARDO ANDRES MALDONADO-PUEBLA DO
NPI 1659164135
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since May 27, 2025PECOS Enrolled
4101 NW 89TH BLVD RM 1782, GAINESVILLE, FL 32606(352) 265-2863(352) 265-2872 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricardo Andres Maldonado-puebla Do NPPES

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

RICARDO ANDRES MALDONADO-PUEBLA DO (NPI 1659164135) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (UO10604) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659164135
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRICARDO ANDRES MALDONADO-PUEBLACredential: DO
Location Address4101 NW 89TH BLVD RM 1782Gainesville, FL 32606-3813
Mailing Address4101 Nw 89th Blvd Rm 1782Gainesville, FL 32606-3813 · (352) 265-2863 · Fax (352) 265-2872
Phone(352) 265-2863
Fax(352) 265-2872
Sole ProprietorNo
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1659164135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · UO10604
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4101 NW 89TH BLVD RM 1782, Gainesville, FL 32606
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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)

Ricardo Andres Maldonado-puebla Do 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL BENJAMIN JOHN DO
Student in an Organized Health Care Education/Training Program
4101 NW 89TH BLVD RM 1782
GAINESVILLE, FL 32606
Alachua County (352) 265-2863
DR. SHELBY ANN ANTON MD
Student in an Organized Health Care Education/Training Program
4101 NW 89TH BLVD RM 1782
GAINESVILLE, FL 32606
Alachua County (352) 265-2863
DR. HAMZAH FAROOQ HASSAN MD
Student in an Organized Health Care Education/Training Program
4101 NW 89TH BLVD RM 1782
GAINESVILLE, FL 32606
Alachua County (352) 265-2863
PATRICIA BELTRAO COUTINHO MD
Student in an Organized Health Care Education/Training Program
4101 NW 89TH BLVD RM 1782
GAINESVILLE, FL 32606
Alachua County (352) 265-2863

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 Ricardo Maldonado-puebla's NPI number?

The NPI number for Ricardo Maldonado-puebla is 1659164135. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Ricardo Maldonado-puebla located?

Ricardo Maldonado-puebla practices at 4101 NW 89th Blvd Rm 1782, Gainesville, FL 32606. The listed phone number is (352) 265-2863.

What is Ricardo Maldonado-puebla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ricardo Maldonado-puebla enrolled in Medicare?

Yes. Ricardo Maldonado-puebla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ricardo Maldonado-puebla was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.