# DVENE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457223034
- **Authorized official:** DR. ALBERTO MALDONADO MOLINA SR. MD (PRESIDENTE)
- **Authorized official phone:** (939) 235-9956

## Contact information

- **Practice address:** 909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 4, PONCE, PR 00716-4728
- **Practice address phone:** (787) 492-0015
- **Mailing address:** 909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 4, PONCE, PR 00716-4728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025