CARLOS MALDONADO, D.O., P.A. (NPI# 1194058800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194058800 |
| Entity Type | Organization |
| Organization Name | CARLOS MALDONADO, D.O., P.A. |
| Practice Address |
2933 Lazy Lake Dr Harlingen TX 78550-8633 |
| Practice Telephone | 9562760144 |
| Practice Fax Number | 8666894246 |
| Mailing Telephone | 9562760144 |
| Mailing Fax Number | 8666894246 |
| Enumeration Date | 2009-09-13 |
| Last Update Date | 2009-09-13 |
| Authorized Official Name | CARLOS MALDONADO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9562760144 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
J7064 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2933 LAZY LAKE DR |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463415 | Ct Medical Group | Radiology | 11901 Shadow Creek Pkwy Ste 111b, Pearland, TX 77584-7346 | 2020-10-04 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1225370273 | Gary Brent Mayes | Radiology | 5248 Lower Crabapple Rd, Fredericksburg, TX 78624-7594 | 2013-03-17 |
| 1578820866 | Kuang-wei Eric Chang | Radiology | 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | 2012-04-12 |
| 1043583008 | 1st South Texas Pain Management | Radiology | 1431 Wirt Rd., 113, Houston, TX 77055 | 2012-02-21 |
| 1326235359 | Louisea Marie Raymun Bonoan Deomampo | Radiology | University of Texas Medical Branch- Radiology, 301 University Boulevard Route 0709, Galveston, TX 77555-0709 | 2007-10-03 |
| 1518180488 | Border Radiology Consultants PC | Radiology | 1155 N Zaragoza Rd, Suite C107, El Paso, TX 79907-1812 | 2007-04-10 |
| 1861551046 | Radiology Associates of North Texas Pa | Radiology | 2911 Oak Park Cir, Fort Worth, TX 76109-1893 | 2006-12-06 |
| 1851450969 | Radiology Associates of North Texas Pa | Radiology | 525 E Southlake Blvd, Southlake, TX 76092-6235 | 2006-12-06 |
| 1083798441 | Elizabeth Mooney | Radiology | 6599 Kings Crown E, San Antonio, TX 78233-4719 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.