Healthcare Provider Details

I. General information

NPI: 1871049536
Provider Name (Legal Business Name): HIRAM MALDONADO RIVERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MEDICAL PLAZA SUITE 109
BAYAMON PR
00959-7203
US

IV. Provider business mailing address

PO BOX 151
BAYAMON PR
00960-0151
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-8030
  • Fax:
Mailing address:
  • Phone: 787-467-5944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number21222
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number34730
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: