Individual
DR. ROBERTO E MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
CENTRO SERVICIOS MEDICOS, STE 5B MEDITACION #55, MAYAGUEZ, PR 00680
(787) 806-0116
(787) 806-0116
Mailing address
PO BOX 3398, MAYAGUEZ, PR 00681-3398
(787) 806-0116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D02449
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01497021
UNITED CONCORDIA
—
01
—
100114
CRUZ AZUL
PR
01
—
2449
PLAN SERVICIOS DE SALUD B
—
01
—
40013
TRIPLE INC
—
01
—
660627713
CIGNA
—
01
—
6800221
HUMANA
PR
01
—
70449
PMC MEDICARE CHOICE
—
Enumeration date
10/12/2006
Last updated
05/31/2013
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