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Individual
YOLANDA MALDONADO MALDONADO
Active
Individual
YOLANDA MALDONADO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
1665
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275627234
PROSSAM
PR
01
—
30349
TRIPLE-S
PR
01
—
51018
CRUZ AZUL DE PR
PR
01
—
6200024
HUMANA
PR
01
—
660397575
CIGNA
PR
01
—
7675
IMC
PR
01
—
8000209
MMM
PR
Enumeration date
02/25/2008
Last updated
03/21/2014
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