Individual
MR. CARLOS I MALDONADO ACEVEDO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE GENERAL VALERO 1020 URG LAS DELICIAS, RIO PIEDRAS, SAN JUAN, PR 00924
(787) 282-6534
(787) 765-2841
Mailing address
#499 CAMINO DE CAMBALACHE, SABANERA, DORADO, PR 00646
(787) 598-6353
(787) 765-2841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8615
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500066E
MMM HEALTHCARE
—
Enumeration date
10/23/2006
Last updated
10/17/2018
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