Individual
DR. IDA MARY SANTIAGO-MALDONADO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058066
VA
207UN0902X
Nuclear Imaging & Therapy Physician
—
VA
Other
Enumeration date
02/23/2006
Last updated
09/11/2025
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