Dr Samuel David Maldonado Jr, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. He went to Rutgers New Jersey Medical School and graduated in 2020 and has 5 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
55 Fruit Street, Bul-1-130, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 726-3906.
Dr Samuel David Maldonado Jr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972130912.
Physician's Profile
| Full Name | Dr Samuel David Maldonado Jr |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 5 Years |
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| Location | 55 Fruit Street, Bul-1-130, Boston, Massachusetts |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel David Maldonado Jr attended and graduated from Rutgers New Jersey Medical School in 2020
NPI Data:
- NPI Number: 1972130912
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193194322
- Enrollment ID: I20250708000931
Medical Identifiers
Medical identifiers for Dr Samuel David Maldonado Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972130912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0200X | Internal Medicine - Infectious Disease | 1021380 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel David Maldonado Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel David Maldonado Jr, MD, PHD
1215 Lee St Box 800744,
Charlottesville, VA 22908-0816
Ph: (434) 924-1931 | Dr Samuel David Maldonado Jr, MD, PHD
55 Fruit Street, Bul-1-130,
Boston, MA 02114
Ph: (617) 726-3906 |
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