Individual
JOSE L. PEREZ MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 CALLE CESAR GONZALEZ, SUITE 508, SAN JUAN, PR 00918-3756
(787) 766-7070
Mailing address
PO BOX 367488, SAN JUAN, PR 00936-7488
(787) 536-1344
(787) 756-5207
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
16996
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AD833
BCBS
TX
Enumeration date
07/02/2007
Last updated
05/30/2012
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