Provider Demographics
NPI:1417244138
Name:MALDONADO, ALEYDA E (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEYDA
Middle Name:E
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 CALLE SAUCO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6718
Mailing Address - Country:US
Mailing Address - Phone:787-513-5888
Mailing Address - Fax:787-561-7464
Practice Address - Street 1:1788 CALLE JULIO AYBAR
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4410
Practice Address - Country:US
Practice Address - Phone:787-513-5888
Practice Address - Fax:787-561-7464
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3903103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical