Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Josue Maldonado Custodio, MD

Individual provider Pediatrics Physician · NPI 1609229525

Josue Maldonado Custodio, MD is a Pediatric Medicine in LA Crosse, Wisconsin. Graduated from University of Puerto Rico School of Medicine in 2015, 11 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
11
Trained at
University of Puerto Rico School of Medicine
Licensed in
TX, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-4783
Phone: (608) 785-0940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 626-2958

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 85856-20 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence S8070 (TX)

Record details

NPI number1609229525
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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