MEDICARE: ALBERTO MALDONADO JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	2081S0010X	AZ

General Provider Information

NPI Number	:	1588511802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO MALDONADO JR.

Provider Business Mailing Address
First Line	:	1433 S KENNETH PL
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-7003
Country	:	US
Telephone Number	:	480-639-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	1628 E SOUTHERN AVE
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-5782
Country	:	US
Telephone Number	:	480-272-7797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ ALBERTO MALDONADO JR. ” Practice Location

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