CARLOS MALDONADO (NPI# 1023030749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023030749 |
| Entity Type | Individual |
| Full Name | CARLOS MALDONADO |
| Credential | M.D. |
| Practice Address |
2392 Se Ocean Blvd Stuart FL 34996-3310 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722860050 |
| Practice Fax Number | 7722235698 |
| Mailing Telephone | 7722235665 |
| Mailing Fax Number | 7722235646 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME25170 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 055743900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598853053 | Carlos M Maldonado | Pharmacy Technician | Hc 2 Box 5377, Penuelas, PR 00624-9606 | 2006-10-10 |
| 1750498390 | Carlos Javier Maldonado | Dentist | 390 Calle San Claudio, Sagrado Corazon, San Juan, PR 00926-4107 | 2006-08-23 |
| 1609889229 | Carlos Ivan Maldonado | Internal Medicine | Calle Luis Munoz Rivera Final, Juncos, PR 00777 | 2006-08-14 |
| 1528558608 | Carlos Maldonado | Social Worker | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2018-05-15 |
| 1659361301 | Carlos Maldonado | Radiology | 2200 Haine Dr, Harlingen, TX 78550-8549 | 2005-10-25 |
| Street Address |
2392 SE OCEAN BLVD |
| City | STUART |
| State | FL |
| Zip Code | 34996-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205884590 | Vatti Theckla Anthony | Internal Medicine | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2006-05-05 |
| 1790044725 | Toribio Lugo | Internal Medicine | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2012-05-11 |
| 1528324613 | Katie Cleary Alonso | Internal Medicine | 2392 Se Ocean Blvd, Stuart, FL 34996 | 2012-04-03 |
| 1174809594 | Timothy Ramos | Physician Assistant | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2011-10-31 |
| 1912293028 | Leighan H Talton | Family Medicine | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2011-06-27 |
| 1417247032 | Joshua Leibner | Psychiatry & Neurology | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2011-04-15 |
| 1609189869 | Juancarlo Martinez Gonzalez | Internal Medicine | 2392 Se Ocean Blvd, Stuart, FL 34996 | 2010-07-16 |
| 1164446290 | Raiza Rodriguez | Physician Assistant | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2006-07-26 |
| 1912927781 | Pete M. Decuir | Nurse Practitioner | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2006-07-21 |
| 1689693913 | Sandra Clark-ragl | Nurse Practitioner | 2392 Se Ocean Blvd, Stuart, FL 34996-3310 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061578 | See and Sun Optical | Technician/Technologist | 3736 Se Ocean Blvd, Stuart, FL 34996 | 2020-01-02 |
| 1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
| 1790273944 | Harbour Bay Pharmacy LLC | Pharmacy | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 | 2018-04-24 |
| 1053828921 | Barbara Ann Ohara | Counselor | 2929 S.e. Ocean Blvd., Stuart, FL 34996 | 2018-01-02 |
| 1417370651 | National Laboratories, LLC | Clinical Medical Laboratory | 1411 Se Ocean Avenue, Stuart, FL 34996 | 2014-01-23 |
| 1972871747 | Cara Montgomery | Counselor | 850 Se Stafford Dr, Stuart, FL 34996 | 2011-12-08 |
| 1053557603 | Glenn Allen Feigen | Licensed Practical Nurse | 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 | 2009-01-05 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
| 1912129214 | Eyewear of Stuart, Inc. | Durable Medical Equipment & Medical Supplies | 2090 S.e. Ocean Blvd, Stuart, FL 34996 | 2007-05-03 |
| Find all providers in zip 34996 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205264918 | Thomas Frank Haas Md | Surgery | 166 Se Saint Lucie Blvd, Apt 203, Stuart, FL 34996-4769 | 2013-10-16 |
| 1073881462 | South Florida Breast Specialists Pllc | Surgery | 401 Se Osceola St, Suite 200a, Stuart, FL 34994-2503 | 2011-12-13 |
| 1194711713 | Richard Oswald Follwell | Surgery | 2221 Se Ocean Blvd, Suite 200, Stuart, FL 34996-3341 | 2005-09-20 |
| 1184625162 | James J Vopal | Surgery | 801 Se Osceola St, Stuart, FL 34994-2431 | 2005-08-02 |
| 1437157864 | George Harold Rittersbach Jr. | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2005-07-11 |
| 1073511408 | Wallace Edward Wengler | Surgery | 509 Se Riverside Dr Ste 200, Stuart, FL 34994-2579 | 2005-07-11 |
| 1265430680 | Sunil Gandhi | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2005-07-09 |
| 1356349773 | Mark Stephen Beatty | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2005-07-09 |
| 1093269557 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-08-12 |
| 1780053058 | 21st Century Oncology LLC | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2015-09-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.