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Individual

DR. JOSE IVAN MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
48 CALLE TEODOMIRO RAMIREZ, VEGA ALTA, PR 00692-6518
(787) 883-2030
(787) 270-2908
Mailing address
400 CARR 2, VEGA ALTA, PR 00692-6069
(787) 883-2030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1778
PR

Other

Enumeration date
01/27/2006
Last updated
03/14/2016
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