DR. IVELISSE J. MALDONADO-MORALES (NPI# 1154550218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154550218 |
| Entity Type | Individual |
| Full Name | DR. IVELISSE J. MALDONADO-MORALES |
| Credential | PSY. D. |
| Practice Address |
Centro Internacional De Mercadeo Torre 1 Suite 401 Guaynabo PR 00966 |
| Mailing Address |
K6 Calle Rio Blanco Rio Hondo 1 Bayamon PR 00961-3443 |
| Practice Telephone | 7874482363 |
| Mailing Telephone | 7874482363 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003256 | PR | Behavioral Health & Social Service Providers |
| Street Address |
CENTRO INTERNACIONAL DE MERCADEO TORRE 1 SUITE 401 |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720029317 | Angel R Chinea Sr. | Specialist | Centro Internacional De Mercadeo, Suite 306, Guaynabo, PR 00969 | 2006-06-08 |
| 1154804292 | Keishalee Gomez | Psychologist | Centro Internacional De Mercadeo, Suite 403, Guaynabo, PR 00968 | 2018-09-14 |
| 1134616527 | Dr Alejandro Acevedo Psc | Clinic/Center | Centro Internacional De Mercadeo, Torre 1 Suite 311, Guaynabo, PR 00968 | 2018-04-20 |
| 1932413499 | James Michael Bryan-diaz | Internal Medicine | Centro Internacional De Mercadeo, Torre 1 Suite 306, Guaynabo, PR 00969 | 2010-07-27 |
| 1821318916 | Carenin Cordero | Psychologist | Centro Internacional De Mercadeo, Torre 1 Suite 401, Guaynabo, PR 00969 | 2010-06-11 |
| 1922255876 | Luis A Castro Velez | Physical Medicine & Rehabilitation | Centro Internacional De Mercadeo, Suite 303 Ave. Los Canos Exq 28 Km 0.0, Guaynabo, PR 00968-0001 | 2008-08-22 |
| 1306002415 | Leyda Gisselle Sanchez Ortiz | Psychiatry & Neurology | Centro Internacional De Mercadeo, 100 Carr 165 Ste 308, Torre 1, Guaynabo, PR 00968-8050 | 2008-07-29 |
| 1093839755 | Hector L. Irizarry | Plastic Surgery | Centro Internacional De Mercadeo, #90 Rd. 165, Suite 302, Guaynabo, PR 00968 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548845 | Provider Network Solutions of Puerto Rico LLC | Clinic/Center | 140 Ave. Las Cumbres Carr 199 Guaynabo Medical Mall, Guaynabo, PR 00966 | 2020-11-02 |
| 1619504578 | Horizon Health and Management Consulting Group Corp | General Practice | 38 Corporate Office Park Pr-20 Suite 201, Guaynabo, PR 00966 | 2020-03-23 |
| 1073148755 | Emanuel Echandy Rivera | Chiropractor | Buen Samaritano Street, Guaynabo, PR 00966 | 2020-03-03 |
| 1225662646 | Andres Enrique Javier Gonzalez | Student in an Organized Health Care Education/Training Program | 225 Carr 2 Villa Caparra Plaza, Apt 1101, Guaynabo, PR 00966 | 2020-02-25 |
| 1609408624 | Erika Hernandez Cintron | Nurse Practitioner | Av San Patricio Maramar Plaza, Suite 1250, Guaynabo, PR 00966 | 2020-02-07 |
| 1720621725 | Jose Enrique Velez Palmer | Physician Assistant | 3-15 Madrid St., Urb. Torrimar, Guaynabo, PR 00966 | 2019-10-22 |
| 1275182388 | Jose Luis Ortiz-fullana | Student in an Organized Health Care Education/Training Program | Ave Norte Condominio Valles De Torrimar, Apt. I-305, Guaynabo, PR 00966 | 2019-09-11 |
| 1871149062 | Med Boutique | General Practice | D16 Calle Buen Samaritano, Urb Gardenville, Guaynabo, PR 00966 | 2019-08-13 |
| 1598326753 | Mariana Vazquez Vazquez | Psychologist | Y8 Calle Green Hill, Urb Garden Hills, Guaynabo, PR 00966 | 2019-06-27 |
| 1437710407 | Discal Corp | Clinic/Center | 131 Carretera 2, Guaynabo, PR 00966 | 2019-06-21 |
| Find all providers in zip 00966 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275489 | Karla Michelle Torres | Psychologist | Calle Jose Cintron 1 Sector Santa Rosa, Bo Santa Rosa 1, Guaynabo, PR 00971 | 2020-11-06 |
| 1851998959 | Jahaira Felix Fermin | Psychologist | 93 Carr 20 Villa Venecia 1, Apt. 8a-1, Guaynabo, PR 00966-4018 | 2020-10-02 |
| 1104457449 | Lizzette Marie Mendez | Psychologist | Calle Rivera Edif. Pineiro 20, Guaynabo, PR 00969 | 2020-01-27 |
| 1427691146 | Janice Gonzalez-sanchez | Psychologist | San Patricio Office Center, Calle Tabonuco 7 Suite 104, Guaynabo, PR 00968 | 2019-10-25 |
| 1598326753 | Mariana Vazquez Vazquez | Psychologist | Y8 Calle Green Hill, Urb Garden Hills, Guaynabo, PR 00966 | 2019-06-27 |
| 1639643034 | Khitsy Perez Diaz | Psychologist | Urb Bello Monte, S7 Calle 5, Guaynabo, PR 00960 | 2019-01-18 |
| 1629559661 | Raul E Mercado Santisteban | Psychologist | Cond Casamaggiore, Guaynabo, PR 00969 | 2018-08-28 |
| 1700392610 | Adriana Soltero | Psychologist | 2124 Calle Arcadia, Guaynabo, PR 00969-4926 | 2017-12-15 |
| 1750892394 | Karla Yvonne Kramer De Courceuil | Psychologist | 544 Calle Aldebaran, Edgewell Building, Guaynabo, PR 00968 | 2017-10-23 |
| 1629518964 | Valeria Maria Pecunia | Psychologist | W21 Calle Sabila, Santa Clara, Guaynabo, PR 00969 | 2017-03-06 |
| Find all providers in GUAYNABO | ||||
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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.