Individual
MYRNA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO PASTO CARR #717 KM 9.8 INT, AIBONITO, PR 00705-2021
(787) 735-2401
(787) 735-2500
Mailing address
PO BOX 927, BARRANQUITAS, PR 00794-0927
(787) 735-2401
(787) 735-2500
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AF5170
PR
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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