Individual
MRS. JIMMY AMARO MALDONADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTER NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78389
PR
163WA2000X
Administrator Registered Nurse
Primary
78389
PR
163WG0000X
General Practice Registered Nurse
78389
PR
163WR0400X
Rehabilitation Registered Nurse
78389
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6218693
LICENCIES
PR
01
—
78389
LICENSE REGISTER NURSE GENERALIST
PR
Enumeration date
03/30/2016
Last updated
03/30/2016
Update your record
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