DR. JUAN D. MALDONADO M.D.
NPI 1679665814
General Practice in Fort Pierce, FL

Active since September 28, 2006PECOS Enrolled
1404 S 28TH ST, FORT PIERCE, FL 34947(772) 293-0770 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Juan D. Maldonado M.d. NPPES

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

DR. JUAN D. MALDONADO M.D. (NPI 1679665814) is an individual general practice provider in Fort Pierce, Florida, licensed in Puerto Rico (15289) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679665814
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JUAN D. MALDONADOCredential: M.D.
Location Address1404 S 28TH STFort Pierce, FL 34947-6999
Mailing Address1404 S 28th StFort Pierce, FL 34947-6999 · (772) 293-0770
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJanuary 5, 2015
NPI 1679665814 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 · 15289
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

1404 S 28TH ST, Fort Pierce, FL 34947

Accepted Insurance

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. Juan D. Maldonado M.d. 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 5

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

Internal Medicine
1404 S 28TH ST
FORT PIERCE, FL 34947
Specialist
1404 S 28TH ST
FORT PIERCE, FL 34947
Internal Medicine
1404 S 28TH ST
FORT PIERCE, FL 34947
Nurse Practitioner (Family)
1404 S 28TH ST
FORT PIERCE, FL 34947
General Practice
1404 S 28TH ST
FORT PIERCE, FL 34947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679665814, enumerated as an "individual" on September 28, 2006.

The provider is located at 1404 S 28TH ST FORT PIERCE, FL 34947 and the phone number is (772) 293-0770.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.