DR. JUAN D. MALDONADO (M.D.) – General Practice Physician, NPI 1679665814

DR. JUAN D. MALDONADO (M.D.) is a healthcare provider. based in Fort pierce, Florida. specializing in General Practice Physician. They hold the professional credentials M.D.. They hold a License No. 15289 (PR). The NPI Number for DR. JUAN D. MALDONADO (M.D.) is 1679665814

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN D. MALDONADO (M.D.)
NPI
1679665814
Phone
(772) 293-0770
Address
1404 S 28TH ST
Enumeration Date
28 September 2006
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059718315
Graduation Year
2001 (25 years ago)
PAC ID
9830133081
Group Practice PAC ID
3971554825
Professional Enrollment ID
I20140905000484
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JUAN D. MALDONADO (M.D.)

  • 1404, South 28th Street, Cortez Estates, Fort Pierce, Saint Lucie County, Florida, 34947, United States

    FORT PIERCE, FL 349476999

    Phone: (772) 293-0770

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($270).

Total Amount

$585

General + Research + Ownership

Payments

7

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140905000484IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34947)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971554825View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. JUAN D. MALDONADO (M.D.)?
Save NPI 1679665814 if you need a stable reference for DR. JUAN D. MALDONADO (M.D.).
Does this profile mean DR. JUAN D. MALDONADO (M.D.) is currently active?
Yes — DR. JUAN D. MALDONADO (M.D.) appears active in the national provider directory.
What does DR. JUAN D. MALDONADO (M.D.) treat or focus on?
Patients typically see DR. JUAN D. MALDONADO (M.D.) under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JUAN D. MALDONADO (M.D.)?
The page summarizes Fort Pierce, Florida for DR. JUAN D. MALDONADO (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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