Jose Ivan Maldonado, D.D.S.
NPI 1104897479ActiveIndividual· Dentist· Vega Alta, PR
Dentist (D.D.S.) in Vega Alta, Puerto Rico, licensed in PR, with an NPI issued in January 2006. Part D covered 629 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1104897479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | Mar 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 1778 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (PR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 629 · 650 30-day fills |
|---|---|
| Patients | 312 |
| Total drug cost | $4,808 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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