From clinical healthcare to daily living, continuous sensor monitoring across multiple modalities has shown great promise for real-world intelligent decision-making but also faces various challenges. In this work, we introduce MAESTRO, a novel framework that overcomes key limitations of existing multimodal learning approaches: (1) reliance on a single primary modality for alignment, (2) pairwise modeling of modalities, and (3) assumption of complete modality observations. These limitations hinder the applicability of these approaches in real-world multimodal time-series settings, where primary modality priors are often unclear, the number of modalities can be large (making pairwise modeling impractical), and sensor failures often result in arbitrary missing observations. At its core, MAESTRO facilitates dynamic intra- and cross-modal interactions based on task relevance, and leverages symbolic tokenization and adaptive attention budgeting to construct long multimodal sequences, which are processed via sparse cross-modal attention. The resulting cross-modal tokens are routed through a sparse Mixture-of-Experts (MoE) mechanism, enabling black-box specialization under varying modality combinations. We evaluate MAESTRO against 10 baselines on four diverse datasets spanning three applications, and observe average relative improvements of 4% and 8% over the best existing multimodal and multivariate approaches, respectively, under complete observations. Under partial observations -- with up to 40% of missing modalities -- MAESTRO achieves an average 9% improvement. Further analysis also demonstrates the robustness and efficiency of MAESTRO's sparse, modality-aware design for learning from dynamic time series.